| NPI | 1740304351 |
|---|---|
| Former Name | IN PYO PARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS41685) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH0012461) |
| 183500000X Pharmacist (Licence: WA PH60209174) | |
| 183500000X Pharmacist (Licence: VA 0202214417) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-07-21 |