Individual provider · Type 1 NPI

Kelly Kwak

Pharmacist · Dallas, TX

NPI number 1306438874 Active

Practice location

3133 E Lemmon Ave
Dallas, TX 75204-1411

Call (214) 599-2108 Map

Mailing address

1501 Mission Ridge Trl
Carrollton, TX 75007-5025

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X65077 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1306438874

Kelly Kwak's National Provider Identifier is 1306438874, issued on Feb 6, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Dallas, TX. The record was last updated on Nov 18, 2021.