Mo a Park, PHARM.D

Pharmacist · Beaumont, CA

Individual Active NPI

NPI number 1558648139

Practice location

1435 Edelweiss Dr
Beaumont, CA 92223-3343
Phone
(951) 797-3935

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NPI record

NPI
1558648139
Entity type
Individual (Type 1)
Enumeration date
November 9, 2011
Last updated
November 9, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 61407 CA

About Dr. Park

Mo a Park, PHARM.D is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1435 Edelweiss Dr, Beaumont, CA 92223-3343. The NPI number 1558648139 was assigned on November 9, 2011 and the record was last updated on November 9, 2011.

Dr. Park lists a license in the registry: #61407 (CA) 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 Mo a Park, PHARM.D?

The NPI number is 1558648139.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (951) 797-3935.

Where is Dr. Park located?

1435 Edelweiss Dr, Beaumont, CA 92223-3343.

What is the taxonomy code for Dr. 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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