Individual provider · Type 1 NPI

Elisa Park

Pharmacist · Crystal Lake, IL

NPI number 1124623863 Active

Practice location

1305 Randall Rd
Crystal Lake, IL 60014-8601

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	051294615 (IL)

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 1124623863

Elisa Park's National Provider Identifier is 1124623863, issued on Dec 1, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Crystal Lake, IL. The record was last updated on Dec 12, 2020.