Pak, Kelly S

Pak, Kelly S is an individual health care provider with primary practice located at 500 Indiana Ave , Winslow AZ 86047-2169. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Pak, Kelly S can be contacted via phone (928) 289-4646.

Contact Information

Primary practice address
500 Indiana Ave Winslow AZ 86047-2169
Phone: (928) 289-4646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS46501 Florida

Profile Details

NPI number 1124383120
LBN Legal business name Pak, Kelly S
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2012
Last updated Sep 23rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers