| Doctor Name: | EUN MI PARK |
| NPI Number: | 1013308501 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 28RW02141200 |
| Business Practice Address: | 2137 Route 38 Cherry Hill, NJ - 080022045 |
| Business Phone Number: | 8563171442 |
| Business Fax Number: | |
| Mailing Address: | 4207 Chester Ave Apt 310, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191044466 |
| Phone Number: | 2015620521 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2015 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 28RW02141200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |