Dr. Angela Park
Pharmacist in Louisville, KY. Individual provider (NPI-1).
NPI number1013402684
StatusActive
Last updated in NPPESJun 26, 2018
Details
- NPI
- 1013402684
- Entity type
- Individual (NPI-1)
- Name
- Dr. Angela Park
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2018
- Last updated
- Jun 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 018556 | KY | Yes |
Practice location
5100 Dixie HwyLouisville, KY 40216-1702
Phone 502-447-3347
Mailing address
5100 Dixie HwyLouisville, KY 40216-1702
Phone 502-447-3347
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