Individual
EDWARD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33702 21ST AVE SW, FEDERAL WAY, WA 98023-7762
(253) 952-0133
(253) 952-0142
Mailing address
1417 SW 351ST ST, FEDERAL WAY, WA 98023-6943
(253) 269-8722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61180651
WA
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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