Individual
GRACE HYEYOUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 694-0111
Mailing address
8323 N SHANNON RD UNIT 15103, TUCSON, AZ 85742-6120
(918) 884-8138
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17707
OK
183500000X
Pharmacist
Primary
S023552
AZ
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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