National Provider Identifier
Tae Park, PHARMD
Tae Park, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Williamsville, NY and a listed phone number of (716) 568-0075.
Profile Overview
- NPI
- 1275015364
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- September 05, 2018
- Last Updated
- September 05, 2018
Practice Location
- 1640 Hopkins RD
- Williamsville, NY 14221-1752
Phone: (716) 568-0075
Mailing Address
- 115 Little Robin RD
- Amherst, NY 14228-1124
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1275015364
- Entity Type
- Individual
- Last Name
- Park
- First Name
- Tae
- Credential
- PHARMD
- Mailing Street Address
- 115 Little Robin RD
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14228-1124
- Mailing Country
- US
- Practice Street Address
- 1640 Hopkins RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-1752
- Practice Country
- US
- Practice Phone
- (716) 568-0075
- Enumeration Date
- September 05, 2018
- Last Updated
- September 05, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)