Individual
JIHYUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 WEST BUTLER RD, MAULDIN, SC 29662
(864) 297-3844
Mailing address
207 W BUTLER RD, BI-LO PHARMACY, MAULDIN, SC 29662-2536
(864) 297-3844
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12071
SC
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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