Individual
JASON PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2421 E BONANZA RD, LAS VEGAS, NV 89101-3400
(702) 366-1556
Mailing address
8925 W FLAMINGO RD UNIT 224, LAS VEGAS, NV 89147-0447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19672
NV
Other
Enumeration date
08/20/2017
Last updated
08/20/2017
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