Individual
JEENHA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E BASIN RD, NEW CASTLE, DE 19720-4230
(302) 328-4173
Mailing address
7701 LINDBERGH BLVD APT 1111, PHILADELPHIA, PA 19153-2116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0004679
DE
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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