Individual provider · Type 1 NPI
Jeannie Park
Pharmacist · Chantilly, VA
Practice location
13704 Black Spruce Way
Chantilly, VA 20151-2345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 0202212346 (VA) |
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 1639760184
Jeannie Park's National Provider Identifier is 1639760184, issued on Jan 28, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Chantilly, VA. The record was last updated on Jan 28, 2021.