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Individual

MRS. SUN M PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
415 EAST RIDGEVILLE BLVD, RITE AID #3822, MT AIRY, MD 21771
(301) 829-2920
(310) 829-8402
Mailing address
10763 FOLKESTONE WAY, WOODSTOCK, MD 21163-1313
(410) 750-0772

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10586
MD

Other

Enumeration date
08/24/2010
Last updated
08/24/2010
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