Organization
PARK PHARMACY INC
Active
Organization
PARK PHARMACY INC
Active
Other names
PARK'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG IL PARK RPH (OWNER)
(206) 527-3010
Entity
Organization
Contact information
Practice address
401 NE RAVENNA BLVD, SEATTLE, WA 98115-8401
(206) 527-3010
(206) 527-2320
Mailing address
401 NE RAVENNA BLVD, SEATTLE, WA 98115-8401
(206) 527-3010
(206) 527-2320
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00002044
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108371
PK
—
05
—
6104301
—
WA
Enumeration date
03/08/2007
Last updated
06/06/2016
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