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NPI Code Detail

MEDICARE: DR. CLARA ESTHER PARK PHARMD

MEDICARE: DR. CLARA ESTHER PARK PHARMD
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist60666078WA

General Provider Information

NPI Number : 1588113039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLARA ESTHER PARK PHARMD
Provider Business Mailing Address
First Line : 2746 NE 45TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98105-5099
Country : US
Telephone Number : 206-729-3080
Fax Number :
Provider Business Practice Location Address
First Line : 2746 NE 45TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98105-5099
Country : US
Telephone Number : 206-659-1783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2016
Last Update Date : 06/05/2026

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