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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIN PARK

Active

MIN PARK is a Pharmacist Clinician (PhC) healthcare provider located in STOCKBRIDGE, Georgia. NPI 1912537846 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · STOCKBRIDGE, GA

Registration Details

NPI Number
1912537846
Provider Type
Individual
Gender
Male
NPI Issued
Jan 20, 2020 (6.5984050883385 yrs)
Last Updated
Jan 20, 2020
License
RPH030772 (GA)

Practice Information

Address
3618 HIGHWAY 138 SE
STOCKBRIDGE, GA, 302814171
Browse GA providers · Browse ZIP 30281
Phone
7704745309
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in STOCKBRIDGE, GA

Name Credential NPI
MARY BETH YU PHARM. D. 1740810035
DR. ADEDAPO FAGBOHUN 1093346173
JENNI LYNN BRYANT PHARMD 1447881180
LATRENA SOLOMON PHARMD 1104452663
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.