MEDICARE: EUISOON PARK KANG PHARMACIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	013204	KY

General Provider Information

NPI Number	:	1447880729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUISOON PARK KANG PHARMACIST

Provider Business Mailing Address
First Line	:	7820 OXTED LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-4204
Country	:	US
Telephone Number	:	502-435-8159
Fax Number	:

Provider Business Practice Location Address
First Line	:	4009 POPLAR LEVEL RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40213-1523
Country	:	US
Telephone Number	:	502-454-4106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2020
Last Update Date	:	01/25/2020

Similar Medicare Providers

1518991330 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:

4009 POPLAR LEVEL RD
LOUISVILLE, KY
40213-1523

Practice Phone: 502-454-4106
Practice Fax: 502-454-6328

1932421880 — LAURA SMITH CORNETT R.PH
Practice Location Address:

4025 POPLAR LEVEL RD
LOUISVILLE, KY
40213-1523

Practice Phone: 502-458-3274
Practice Fax: 502-458-7897

1902445752 — DR. ABDOU BOJANG PHARMD
Practice Location Address:

4009 POPLAR LEVEL RD
LOUISVILLE, KY
40213-1523

Practice Phone: 502-454-4106
Practice Fax: 502-454-6328

1881224012 — PATRICK J STAROWITZ PHARMD
Practice Location Address:

4009 POPLAR LEVEL RD
LOUISVILLE, KY
40213-1523

Practice Phone: 502-454-4106
Practice Fax: 502-454-6328

1154301356 — DR. DONALD BRADLEY BURTON PH.D.
Practice Location Address:

4200 BROWNS LN
LOUISVILLE, KY
40220-1523

Practice Phone: 812-923-7903
Practice Fax: 812-923-0843

1467490995 — CHRISTOPHER EAST HEALTH CARE CENTER OF LOUISVILLE KY LLC
Practice Location Address:

4200 BROWNS LN
LOUISVILLE, KY
40220-1523

Practice Phone: 502-459-8900
Practice Fax: 502-459-5026

Directions to “ EUISOON PARK KANG PHARMACIST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.