Individual
DR. BRIAN JAEE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3715 UNIVERSITY BLVD W, KENSINGTON, MD 20895-2123
(301) 962-8092
(301) 962-4843
Mailing address
5410 MCGRATH BLVD APT 558, NORTH BETHESDA, MD 20852-8754
(610) 613-6456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28232
MD
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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