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Ila Pak

Pharmacist in Manassas, VA. Individual provider (NPI-1).

NPI number1467052548
StatusActive
Last updated in NPPESOct 28, 2020

Details

NPI
1467052548
Entity type
Individual (NPI-1)
Name
Ila Pak
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 28, 2020
Certification date
Oct 28, 2020
Last updated
Oct 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist0202204825VAYes

Practice location

9401 Liberia Ave
Manassas, VA 20110-1718

Phone 703-257-0864

Mailing address

24813 Natural Bridge Pl
Aldie, VA 20105-2997

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