Individual
JUNGIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 E BRISTOL ST, ELKHART, IN 46514-3624
(574) 206-8476
Mailing address
520 UNIVERSITY PARK CT APT D, MISHAWAKA, IN 46545-1278
(765) 701-9214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26032151A
IN
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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