Individual
JUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(615) 587-3416
Mailing address
5303 E CORTLAND BLVD, APT # R6, FLAGSTAFF, AZ 86004-9564
(615) 587-3416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33359
TN
Other
Enumeration date
03/29/2010
Last updated
11/20/2014
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