John Bansuk Park PHARM.D.

NPI 1619258100 - Pharmacist - 183500000X

NPI Details
NPI 1619258100
Gender Male
Enumeration Date 08/29/2011
Last Updated 08/29/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
20200 BLOOMFIELD AVE
CERRITOS CA, 90703-7821, US
Phone (562) 274-0062
Fax
Business Location
2205 W BROADWAY
APT A219
ANAHEIM CA, 92804-2385, US
Phone (858) 344-4142
Fax
Toxanomy
Taxonomy Code 183500000X
License State California
License Number 65907
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According to our database, Dr. John Bansuk Park PHARM.D. NPI is 1619258100, taxonomy code is 183500000X and license number is 65907, license state is located at California. John Bansuk Park PHARM.D. physically located at 20200 Bloomfield Ave, Cerritos CA, 90703-7821. NPI Number John Bansuk Park PHARM.D. has the Individual type.

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1619258100 NPI number is provided on an as is basis without warranty of any kind. 1619258100 is maintained by the National Plan & Provider Enumeration System. The contents of John Bansuk Park PHARM.D. are for informational purposes only.