Individual provider · Type 1 NPI

Jo Eun Park

Pharmacist · Roswell, NM

NPI number 1134727795 Active

Practice location

1835 N Main St
Roswell, NM 88201-5168

Mailing address

1600 N Sycamore Ave Apt 512
Roswell, NM 88201-8947

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP00009395 (NM)

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 1134727795

Jo Eun Park's National Provider Identifier is 1134727795, issued on Oct 15, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Roswell, NM. The record was last updated on Oct 15, 2020.