Individual
CHANMYUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4043 BROADWAY, NEW YORK, NY 10032-1516
(212) 795-1240
(212) 795-9167
Mailing address
4043 BROADWAY, NEW YORK, NY 10032-1516
(212) 795-1240
(212) 795-9167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029951
NY
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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