Grace Park

NPI #1265991830 in Uncasville, Connecticut

Provider Information

NPI Number: 1265991830
Entity Type: Individual
Name: Grace Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 13, 2019
Last Updated: Mar 13, 2019

Practice Location

Address: 2005 NORWICH NEW LONDON TPKE
City: Uncasville
State: Connecticut
ZIP Code: 06382-1369
Phone: (860) 848-3202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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