DIANE PAK

CHARLOTTE, NC
NPI1285926394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NC  17091)
Additional Taxonomies183500000X Pharmacist
(Licence: SC  10163)
Enumeration Date2011-05-07
Last Update Date2011-05-07
Business Address
-- DIANE PAK
2201 W WT HARRIS BLVD
CHARLOTTE, NC 28269-8515
Phone number: 704-295-0019
Mailing Address
-- DIANE PAK
2201 W WT HARRIS BLVD
CHARLOTTE, NC 28269-8515
Phone number: 704-295-0019