NPI 1124383120
Kelly S Pak, PHARMD
Practice location
- Address
- 500 Indiana Ave, Winslow, AZ 86047-2169
- Phone
- (928) 289-4646
- Mailing address
- 1878 W University Heights Dr S, Flagstaff, AZ 86005-9130
Registered specialties
Pharmacist
Primary
Registry record
- NPI
- 1124383120
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Jul 2012
- Record last updated
- 23 Sep 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.