Individual
DIANA PAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-7497
Mailing address
PO BOX 646, MONROE, WA 98272-0646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60490565
WA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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