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Individual

MR. MARK LANASA PARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
200 HAWTHORNE LN, 3RD FLOOR PHARMACY, CHARLOTTE, NC 28204-2515
(704) 384-9480
(704) 316-4496
Mailing address
5031 WAXHAW CROSSING DR, WAXHAW, NC 28173-2400
(704) 616-9915

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
NC

Other

Enumeration date
11/13/2011
Last updated
09/29/2025
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