Park, Dianne M
Park, Dianne M is an individual health care provider with primary practice located at 2514 Main St , Longmont CO 80504-9740. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Park, Dianne M can be contacted via phone (303) 774-9419.Contact Information
Primary practice address
2514 Main St
Longmont CO 80504-9740
Phone: (303) 774-9419
Fax: (303) 774-9427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 13625 | Colorado |
Profile Details
| NPI number | 1902369119 |
|---|---|
| LBN Legal business name | Park, Dianne M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2019 |
| Last updated | Apr 13th, 2019 - about 7 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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