Individual provider · NPI-1
Mark Lanasa Parks, CPhT
Pharmacy Technician · Charlotte, NC
NPI number1346527710
StatusActive
Last updated in NPPESSep 29, 2025
Details
- NPI
- 1346527710
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Lanasa Parks
- Credential
- CPhT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2011
- Certification date
- Sep 29, 2025
- Last updated
- Sep 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | – | NC | Yes |
Practice location
200 Hawthorne Ln3rd Floor Pharmacy
Charlotte, NC 28204-2515
Phone 704-384-9480 · Fax 704-316-4496
Mailing address
5031 Waxhaw Crossing DrWaxhaw, NC 28173-2400
Phone 704-616-9915
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