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

Peter Park, PHARMD

Individual provider Pharmacist · NPI 1992466593

Peter Park, PHARMD is a Pharmacist in Jackson, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

12110 Industry Blvd
Jackson, CA 95642-9373
Phone: (209) 257-0786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 85798 (CA)

Record details

NPI number1992466593
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJanuary 5, 2022
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022
Mailing address12110 Industry Blvd, Jackson, CA 95642-9373

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