Provider Demographics
NPI:1609407857
Name:PAJAK, PATRICIA ELENI (PHARMD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ELENI
Last Name:PAJAK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 75TH ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-4639
Mailing Address - Country:US
Mailing Address - Phone:727-631-2198
Mailing Address - Fax:
Practice Address - Street 1:2000 75TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-4639
Practice Address - Country:US
Practice Address - Phone:727-631-2198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS58515183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist