Individual
CHUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8059 MAIN ST, DEXTER, MI 48130-1027
(734) 426-4641
Mailing address
3106 TUSCANY CT, ANN ARBOR, MI 48103-8727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032381
MI
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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