Individual
DR. AUSTIN G PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
890 E WELSH RD, MAPLE GLEN, PA 19002-2931
(215) 628-6374
Mailing address
890 E WELSH RD, MAPLE GLEN, PA 19002-2931
(215) 628-6374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013315
OR
Other
Enumeration date
10/08/2012
Last updated
11/21/2020
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