Jae Park

Pharmacist · Bridgeville, DE

Individual Active NPI

NPI number 1215488465

Practice location

9202 Commercial Centre Dr
Bridgeville, DE 19933-3822
Phone
(302) 337-9785

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NPI record

NPI
1215488465
Entity type
Individual (Type 1)
Enumeration date
October 21, 2016
Last updated
October 22, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 23092 MD

About Jae Park

Jae Park is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 9202 Commercial Centre Dr, Bridgeville, DE 19933-3822. The NPI number 1215488465 was assigned on October 21, 2016 and the record was last updated on October 22, 2016.

Jae Park lists a license in the registry: #23092 (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 Jae Park?

The NPI number is 1215488465.

What is the phone number of Jae Park?

The phone number listed for the practice location is (302) 337-9785.

Where is Jae Park located?

9202 Commercial Centre Dr, Bridgeville, DE 19933-3822.

What is the taxonomy code for Jae 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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