Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dianne M Park

Individual provider Pharmacist · NPI 1902369119

Dianne M Park is a Pharmacist in Longmont, Colorado. Licensed in Colorado. Registered with an NPI since 2019.

Licensed in
CO
In the registry since
2019

Practice location Address checks out

2514 Main St
Longmont, CO 80504-9740
Phone: (303) 774-9419
Fax: (303) 774-9427
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 13625 (CO)

Record details

NPI number1902369119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2019
Last updated in NPPESApril 13, 2019
Mailing address2514 Main St, Longmont, CO 80504-9740

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