Individual
ANDREA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1800 E IMPERIAL HWY, BREA, CA 92821-6062
(708) 551-1214
Mailing address
1800 E IMPERIAL HWY, BREA, CA 92821-6062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57354
CA
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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