Individual
JI PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 HIGHLAND CORPORATE DR, CUMBERLAND, RI 02864-8703
(800) 746-7287
Mailing address
1505 MASSACHUSETTS AVE UNIT 11, LEXINGTON, MA 02420-3842
(978) 995-6508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH06269
RI
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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