DR. Travis Anthony Park, PHARMD.
NPI #1033329248 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1033329248
- Entity Type
- Individual
- Name
- DR. Travis Anthony Park, PHARMD.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD.
- Enumeration Date
- May 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2003 LINCOLN WAY
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2611
- Phone
- (208) 666-3032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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