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So Yeon Park

Pharmacist in Manassas, VA. Individual provider (NPI-1).

NPI number1982208005
StatusActive
Last updated in NPPESNov 30, 2020

Details

NPI
1982208005
Entity type
Individual (NPI-1)
Name
So Yeon Park
Sex
Female
Sole proprietor
No
Enumeration date
Nov 30, 2020
Certification date
Nov 30, 2020
Last updated
Nov 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist0202217100VAYes

Practice location

5515 Ashland Community Sq
Manassas, VA 20112-5499

Phone 703-583-6924

Mailing address

5515 Ashland Community Sq
Manassas, VA 20112-5499

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