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

Susan Park

Individual provider Pharmacist · NPI 1427654169

Susan Park is a Pharmacist in Woodbridge, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
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Practice location Address checks out

2200 Tacketts Mill Dr
Woodbridge, VA 22192-3012
Phone: (703) 494-9108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0202210076 (VA)

Record details

NPI number1427654169
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 8, 2020
Last updated in NPPESDecember 8, 2020
Certification dateDecember 1, 2020
Mailing address12413 Ramrod Ct, Fairfax, VA 22030-6518

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