Individual
ANNA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2226 WHITE PLAINS RD, BRONX, NY 10467-9404
(718) 547-0077
Mailing address
1011 166TH ST, APT 1, WHITESTONE, NY 11357-2253
(718) 746-7458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20 054649
NY
Other
Enumeration date
07/17/2010
Last updated
02/17/2015
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