Dean Pak
Pharmacist in Fontana, CA. Individual provider (NPI-1).
NPI number1154860880
StatusActive
Last updated in NPPESFeb 14, 2017
Details
- NPI
- 1154860880
- Entity type
- Individual (NPI-1)
- Name
- Dean Pak
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2017
- Last updated
- Feb 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 71851 | CA | Yes |
Practice location
9985 Sierra AveFontana, CA 92335-6720
Phone 909-427-4915
Mailing address
9985 Sierra AveFontana, CA 92335-6720
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