Individual
CHAEHO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 W WALNUT AVE, VISALIA, CA 93277-5367
(559) 635-7810
Mailing address
100 W WALNUT AVE, VISALIA, CA 93277-5367
(559) 635-7810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
72325
CA
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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