DIANNE PARK

Pharmacist

Active Individual
NPI: 1902369119

Practice Address

2514 MAIN ST
Longmont, CO 80504

Phone: (303) 774-9419

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes 13625 (CO)

Frequently Asked Questions

NPI 1902369119 is the National Provider Identifier for DIANNE PARK, a Pharmacist provider located in Longmont, CO. This NPI was enumerated on April 13, 2019.
DIANNE PARK practices at 2514 MAIN ST, Longmont, CO 80504.

Quick Facts

NPI
1902369119
Type
Individual
Enumerated
Apr 13, 2019
Last Updated
Apr 13, 2019

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