Individual provider · Type 1 NPI

Travis Anthony Park, PHARMD.

Pharmacist · Coeur D Alene, ID

NPI number 1033329248 Active

Practice location

2003 Lincoln Way
Coeur D Alene, ID 83814-2611

Mailing address

3316 E Pine Hill Dr
Coeur D Alene, ID 83815-6618

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP6016 (ID)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1033329248

Travis Anthony Park, PHARMD.'s National Provider Identifier is 1033329248, issued on May 23, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 8, 2007.