Individual provider · Type 1 NPI

Ellison Jinwoo Park, PharmD

Pharmacist · Randallstown, MD

NPI number 1053904474 Active

Practice location

9110 Liberty Rd
Randallstown, MD 21133-3522

Call (410) 496-8146 Map

Mailing address

3925 Beech Ave Apt 211
Baltimore, MD 21211-2254

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X27818 (MD)

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 1053904474

Ellison Jinwoo Park, PharmD's National Provider Identifier is 1053904474, issued on Feb 17, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Randallstown, MD. The record was last updated on Feb 17, 2021.