IndividualActive
Ida-Lina Diak, PHARM.D.
NPI 1831221779 · Pharmacotherapy Pharmacist · Fort Defiance, AZ
Provider details
- NPI number
- 1831221779
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 13512 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
Intersection Highways N 12 and N 7
Fort Defiance, AZ 86504
Phone: (928) 729-3377
Approximate (ZIP-level) locationGet directions
Mailing address
1512 Fairway Cir
Gallup, NM 87301-4937
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.