Jae B. Pak, PHARMD

Pharmacist · University Place, WA

Individual Active NPI

NPI number 1215449483

Practice location

3838 Bridgeport Way W
University Place, WA 98466-4416
Phone
(253) 564-2255

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NPI record

NPI
1215449483
Entity type
Individual (Type 1)
Enumeration date
October 28, 2017
Last updated
October 28, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PH60758209 WA

Mailing address

4818 Point Fosdick Dr NW
Gig Harbor, WA 98335-1711
Phone
(253) 851-3175
Fax
(253) 851-6953

About Dr. Pak

Jae B. Pak, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 3838 Bridgeport Way W, University Place, WA 98466-4416. The NPI number 1215449483 was assigned on October 28, 2017 and the record was last updated on October 28, 2017.

Dr. Pak lists a license in the registry: #PH60758209 (WA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jae B. Pak, PHARMD?

The NPI number is 1215449483.

What is the phone number of Dr. Pak?

The phone number listed for the practice location is (253) 564-2255.

Where is Dr. Pak located?

3838 Bridgeport Way W, University Place, WA 98466-4416.

What is the taxonomy code for Dr. Pak?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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