Dr. Kelvin Park, PharmD
Pharmacist in Portland, TX. Individual provider (NPI-1).
NPI number1154716488
StatusActive
Last updated in NPPESJan 23, 2016
Details
- NPI
- 1154716488
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelvin Park
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2015
- Last updated
- Jan 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 51057 | TX | Yes |
Practice location
1105 Us Highway 181Portland, TX 78374-1700
Phone 361-229-7251
Mailing address
1105 Us Highway 181Portland, TX 78374-1700
Phone 361-229-7251
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