Individual
BRIAN J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 W FRYE RD, CHANDLER, AZ 85224-4950
(888) 694-7287
Mailing address
2700 W FRYE RD, CHANDLER, AZ 85224-4950
(888) 694-7287
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020016
AZ
Other
Enumeration date
08/11/2013
Last updated
11/30/2015
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