MR. Moochin Park, RPH

NPI #1518235928 in Ronkonkoma, New York

Provider Information

NPI Number: 1518235928
Entity Type: Individual
Name: MR. Moochin Park, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 13, 2011
Last Updated: Dec 13, 2011

Practice Location

Address: 886 JOHNSON AVE
City: Ronkonkoma
State: New York
ZIP Code: 11779-6058
Phone: (631) 588-6330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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