Individual
ANDREA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
833 S SALISBURY BLVD, SALISBURY, MD 21801-6207
(443) 260-0722
Mailing address
833 S SALISBURY BLVD, SALISBURY, MD 21801-6207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24704
MD
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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