Kelly Park

NPI #1073977427 in Inglewood, California

Provider Information

NPI Number
1073977427
Entity Type
Individual
Name
Kelly Park
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Apr 12, 2016
Last Updated
Apr 12, 2016

Practice Location

Address
4345 W CENTURY BLVD
ZIP Code
90304-1519
Phone
(310) 672-6078

Specialties & Taxonomy Codes

Specialty
Pharmacist

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