Park, Moochin
Park, Moochin is an individual health care provider with primary practice located at 886 Johnson Ave , Ronkonkoma NY 11779-6058. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Park, Moochin can be contacted via phone (631) 588-6330.Contact Information
Primary practice address
886 Johnson Ave
Ronkonkoma NY 11779-6058
Phone: (631) 588-6330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 030282 | New York |
Profile Details
| NPI number | 1518235928 |
|---|---|
| LBN Legal business name | Park, Moochin |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2011 |
| Last updated | Dec 13th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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