Individual provider · Type 1 NPI

Tae Park, PharmD

Pharmacist · New Haven, CT

NPI number 1043308984 Active

Practice location

1450 Chapel St, Pharmacy Department
New Haven, CT 06511-4405

Mailing address

20823 32nd Ave
Bayside, NY 11361-1042

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X051114 (NY)
Pharmacist Primary 183500000X10553 (CT)

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 1043308984

Tae Park, PharmD's National Provider Identifier is 1043308984, issued on Oct 10, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in New Haven, CT. The record was last updated on Jul 8, 2007.