Whalio Doctors

NPI 1124383120

Kelly S Pak, PHARMD

Practitioner Pharmacist Winslow, AZ

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
Pharmacy Service Providers Taxonomy 183500000X Licence PS46501 (FL)

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.