VIVIAN PARK

COMMACK, NY
NPI1154670032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NY  054604)
Enumeration Date2012-09-06
Last Update Date2012-09-06
Business Address
-- VIVIAN PARK Pharm.D.
4 HENRY ST
COMMACK, NY 11725-5423
Phone number: 631-462-5463
Mailing Address
-- VIVIAN PARK Pharm.D.
4 HENRY ST
COMMACK, NY 11725-5423
Phone number: 631-462-5463