Jae Park

NPI #1215488465 in Bridgeville, Delaware

Provider Information

NPI Number: 1215488465
Entity Type: Individual
Name: Jae Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 21, 2016
Last Updated: Oct 22, 2016

Practice Location

Address: 9202 COMMERCIAL CENTRE DR
City: Bridgeville
State: Delaware
ZIP Code: 19933-3822
Phone: (302) 337-9785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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