Peter Park, PHARM. D

Pharmacist · Jackson, CA

Individual Active NPI

NPI number 1992466593

Practice location

12110 Industry Blvd
Jackson, CA 95642-9373
Phone
(209) 257-0786

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NPI record

NPI
1992466593
Entity type
Individual (Type 1)
Enumeration date
January 5, 2022
Last updated
January 5, 2022
Certified
January 5, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 85798 CA

About Dr. Park

Peter Park, PHARM. D is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 12110 Industry Blvd, Jackson, CA 95642-9373. The NPI number 1992466593 was assigned on January 5, 2022 and the record was last updated on January 5, 2022.

Dr. Park lists a license in the registry: #85798 (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 Peter Park, PHARM. D?

The NPI number is 1992466593.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (209) 257-0786.

Where is Dr. Park located?

12110 Industry Blvd, Jackson, CA 95642-9373.

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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