Individual
HYERI PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4321 FIR ST, EAST CHICAGO, IN 46312-3097
(219) 392-7480
Mailing address
4321 FIR ST, EAST CHICAGO, IN 46312-3097
(219) 392-7480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026303A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26026303A
INDIANA BOARD OF PHARMACY
IN
Enumeration date
12/15/2023
Last updated
12/15/2023
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