Individual
EUN SOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7059 E BASELINE RD, MESA, AZ 85209-4803
(480) 892-6039
Mailing address
7059 E BASELINE RD, MESA, AZ 85209-4803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024502
AZ
Other
Enumeration date
06/01/2020
Last updated
12/19/2022
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