Individual provider · Type 1 NPI

John Bansuk Park, PharmD

Pharmacist · Cerritos, CA

NPI number 1619258100 Active

Practice location

20200 Bloomfield Ave
Cerritos, CA 90703-7821

Mailing address

2205 W Broadway, Apt A219
Anaheim, CA 92804-2385

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X65907 (CA)

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 1619258100

John Bansuk Park, PharmD's National Provider Identifier is 1619258100, issued on Aug 29, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Cerritos, CA. The record was last updated on Aug 29, 2011.