Individual
JEONG EUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 11TH ST W, WHITE DRUG PHARMACY, WILLISTON, ND 58801-5159
(701) 774-3923
Mailing address
300 11TH ST W, WHITE DRUG PHARMACY, WILLISTON, ND 58801-5159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
58789
TX
183500000X
Pharmacist
Primary
RPH5919
ND
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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