Individual
KWANGWON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 N 5TH AVE, YAKIMA, WA 98902-2643
(509) 453-8833
Mailing address
205 N 5TH AVE, YAKIMA, WA 98902-2643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61355725
WA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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