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Michaela Park, PharmD

Pharmacist in Trabuco Canyon, CA. Individual provider (NPI-1).

NPI number1104797604
StatusActive
Last updated in NPPESSep 16, 2025

Details

NPI
1104797604
Entity type
Individual (NPI-1)
Name
Michaela Park
Credential
PharmD
Sole proprietor
Yes
Enumeration date
Sep 16, 2025
Certification date
Sep 16, 2025
Last updated
Sep 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistrph47667CAYes

Practice location

33 Glen Echo
Trabuco Canyon, CA 92679-3507

Phone 800-968-6962

Mailing address

33 Glen Echo
Trabuco Canyon, CA 92679-3507

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