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Individual

JOHN W PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
558 KENNEDY BLVD, BAYONNE, NJ 07002-2620
(347) 933-6144
Mailing address
558 KENNEDY BLVD, BAYONNE, NJ 07002-2620
(347) 933-6144

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03610000
NJ

Other

Enumeration date
12/11/2014
Last updated
12/11/2014
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