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Dr. Angela Marie Park, Pharm. D.

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Leeds, MA. Individual provider (NPI-1).

NPI number1457545014
StatusActive
Last updated in NPPESMay 22, 2023

Details

NPI
1457545014
Entity type
Individual (NPI-1)
Name
Dr. Angela Marie Park
Credential
Pharm. D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 28, 2007
Certification date
May 16, 2023
Last updated
May 22, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPH00062284WAYes

Practice location

421 N. Main St
Department Of Veterans Affairs Medical Center
Leeds, MA 01053

Phone 413-584-4040

Mailing address

421 N Main St
Leeds, MA 01053-9764

Phone 413-584-4040

Is something wrong?

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Other Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist providers in Leeds, MA

All 7 Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist providers in Leeds · All 393 providers in Leeds

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