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Kyeong Soo Park
Pharmacist in Pleasant Prairie, Wisconsin
NPI 1144803818

Kyeong Soo Park is a Pharmacist based in Pleasant Prairie, WI. Kyeong Soo Park practices in Pleasant Prairie, WI. The NPI Number for Kyeong Soo Park is 1144803818 and holds a License No. 20554-40 (Wisconsin).

The current practice location address for Kyeong Soo Park is 7520 118Th Ave, Pleasant Prairie, WI and can be reached out via phone at 262-857-9484 and via fax at 262-857-2707.

Location: 7520 118Th Ave, Pleasant Prairie, WI, 53158-1128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144803818
Provider Name
Kyeong Soo Park
Credential
Provider Entity Type
Individual
Gender
Male
Address
7520 118Th Ave, Pleasant Prairie, WI, 53158-1128
Phone Number
262-857-9484
Fax Number
262-857-2707
Provider Enumeration Date
04/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7520 118Th Ave
City
Pleasant Prairie
State
Wisconsin
Zip
53158-1128
Phone Number
262-857-9484
Fax Number
262-857-2707
person
Provider Business Mailing Address Details
Address
7520 118Th Ave
City
Pleasant Prairie
State
Wisconsin
Zip
53158-1128
Phone Number
262-857-9484
Fax Number
262-857-2707
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
20554-40 (Wisconsin)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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