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Soui Park

NPI 1598427627 · on the registry since 2021 · sole proprietor

Practice

Address
165 Main St
Fort Lee, NJ 07024
Phone
(201) 944-5394
Organisation at this address
New Jersey Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey