Individual
MS. CAROLINE Y PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
12197 SUNSET HILLS RD, RESTON, VA 20190-3208
(703) 478-9698
(703) 478-9698
Mailing address
12197 SUNSET HILLS RD, RESTON, VA 20190-3208
(703) 478-9698
(703) 478-9698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206492
VA
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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