Jo Eun Park

Pharmacist · Roswell, NM

Individual Active NPI

NPI number 1134727795

Practice location

1835 N Main St
Roswell, NM 88201-5168
Phone
(575) 624-0423

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NPI record

NPI
1134727795
Entity type
Individual (Type 1)
Enumeration date
October 15, 2020
Last updated
October 15, 2020
Certified
October 15, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RP00009395 NM

Mailing address

1600 N Sycamore Ave Apt 512
Roswell, NM 88201-8947
Phone
(617) 991-6694

About Jo Eun Park

Jo Eun Park is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1835 N Main St, Roswell, NM 88201-5168. The NPI number 1134727795 was assigned on October 15, 2020 and the record was last updated on October 15, 2020.

Jo Eun Park lists a license in the registry: #RP00009395 (NM) 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 Jo Eun Park?

The NPI number is 1134727795.

What is the phone number of Jo Eun Park?

The phone number listed for the practice location is (575) 624-0423.

Where is Jo Eun Park located?

1835 N Main St, Roswell, NM 88201-5168.

What is the taxonomy code for Jo Eun 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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