Individual
ANNIE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1607 SHATTUCK AVE, BERKELEY, CA 94709-1611
(510) 423-9430
Mailing address
1607 SHATTUCK AVE, BERKELEY, CA 94709-1611
(510) 423-9430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47909
CA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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