Individual
MR. DANIEL MATTHEW PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE # 119, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6821
NM
Other
Enumeration date
07/03/2006
Last updated
07/12/2007
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