Individual
BO YE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 E LINCOLN AVE STE B, ANAHEIM, CA 92805-2257
(714) 776-1020
(714) 776-7053
Mailing address
1425 E LINCOLN AVE STE B, ANAHEIM, CA 92805-2257
(714) 776-1020
(714) 776-7053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
79891
CA
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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