Individual
DANBI PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 CENTER ST NE APT 425, SALEM, OR 97301-3230
(857) 334-9915
Mailing address
424 CENTER ST NE APT 425, SALEM, OR 97301-3230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020264
OR
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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