Individual
ANISSA B PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
100 14TH ST, JERSEY CITY, NJ 07310-1202
(201) 499-0018
(201) 499-0018
Mailing address
100 14TH ST, JERSEY CITY, NJ 07310-1202
(201) 499-0018
(201) 499-0018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03162500
NJ
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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