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

Ted Park

Individual provider Pharmacy Technician · NPI 1215616818

Ted Park is a Pharmacy Technician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023

Practice location Address checks out

1221 W Lake St Ste 200
Minneapolis, MN 55408-3565
Phone: (612) 824-1036
Show map & directions

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

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence 813828 (MN)

Record details

NPI number1215616818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2023
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address1477 W Lake St # N318, Minneapolis, MN 55408-5099

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