Jin Won Park

Pharmacist · Laurel, MD

Individual Active NPI

NPI number 1104385467

Practice location

667 Main St
Laurel, MD 20707-4067
Phone
(301) 317-3838
Fax
(301) 317-3637

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NPI record

NPI
1104385467
Entity type
Individual (Type 1)
Enumeration date
March 17, 2019
Last updated
April 20, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 22887 MD

About Jin Won Park

Jin Won Park is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 667 Main St, Laurel, MD 20707-4067. The NPI number 1104385467 was assigned on March 17, 2019 and the record was last updated on April 20, 2019.

Jin Won Park lists a license in the registry: #22887 (MD) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jin Won Park?

The NPI number is 1104385467.

What is the phone number of Jin Won Park?

The phone number listed for the practice location is (301) 317-3838.

Where is Jin Won Park located?

667 Main St, Laurel, MD 20707-4067.

What is the taxonomy code for Jin Won Park?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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