Individual provider · Type 1 NPI

Jamie Lee Park, PharmD

Pharmacist · Coeur D Alene, ID

NPI number 1033635180 Active

Practice location

700 W Ironwood Dr
Coeur D Alene, ID 83814-2656

Call (208) 625-5688 Map

Fax (208) 625-5687

Mailing address

11411 N Trafalgar St
Hayden, ID 83835-9134

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP6063 (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 1033635180

Jamie Lee Park, PharmD's National Provider Identifier is 1033635180, issued on Aug 21, 2017. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Aug 21, 2017.