Individual
CHANGMIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 S CANAL ST, PHARMACY, CARLSBAD, NM 88220-6523
(575) 885-1029
Mailing address
1101 CALLAWAY DR, APT 603, CARLSBAD, NM 88220-4186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008638
NM
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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