Individual provider · Type 1 NPI

Kyeong Soo Park

Pharmacist · Pleasant Prairie, WI

NPI number 1144803818 Active

Practice location

7520 118th Ave
Pleasant Prairie, WI 53158-1128

Call (262) 857-9484 Map

Fax (262) 857-2707

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X20554-40 (WI)

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 1144803818

Kyeong Soo Park's National Provider Identifier is 1144803818, issued on Apr 30, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Apr 30, 2021.