Individual
GABRIELLE PAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4279 ROSWELL RD NE, ATLANTA, GA 30342-3769
(404) 843-4358
Mailing address
3137 FLOWERS RD S APT J, ATLANTA, GA 30341-5647
(714) 392-1316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034472
GA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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