Provider / Organization | NPI | Date Certified |
---|---|---|
JUHYE PARK | 1326705807 | 2021-11-20 |
Juhye Park is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1326705807. Registration indicates Juhye Park is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Juhye Park |
Practice Office Address | 4016 W 95TH ST PRAIRIE VILLAGE, KS US |
Practice Office Telephone | 9133073057 |
Mailing Address | 5000 BALTIMORE AVE APT 102 KANSAS CITY, MO 641122470 US |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 109063
KS |