Individual
GI H PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5844
(215) 823-4407
Mailing address
PO BOX 399, MOUNT LAUREL, NJ 08054-0399
(856) 273-8897
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP035607R
PA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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