Individual
DR. DYLAN PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4625 SHORE DR, VIRGINIA BEACH, VA 23455-2745
(757) 640-1674
Mailing address
4816 HARBOR OAKS WAY, VIRGINIA BEACH, VA 23455-1944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202216015
VA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0202216015
VA
Other
Enumeration date
08/03/2017
Last updated
01/14/2020
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