Xun Gong RPH

NPI 1104100643 - Pharmacist - 183500000X

NPI Details
NPI 1104100643
Gender Female
Enumeration Date 10/03/2011
Last Updated 10/03/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
134 GREAT EAST NECK RD
WEST BABYLON NY, 11704-8027, US
Phone (631) 321-3850
Fax (631) 410-0229
Business Location
14725 NORTHERN BLVD
6S
FLUSHING NY, 11354-4344, US
Phone (646) 577-5756
Fax
Toxanomy
Taxonomy Code 183500000X
License State New York
License Number 0562421
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According to our database, Xun Gong RPH NPI is 1104100643, taxonomy code is 183500000X and license number is 0562421, license state is located at New York. Xun Gong RPH physically located at 134 Great East Neck Rd, West Babylon NY, 11704-8027. NPI Number Xun Gong RPH has the Individual type.

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1104100643 NPI number is provided on an as is basis without warranty of any kind. 1104100643 is maintained by the National Plan & Provider Enumeration System. The contents of Xun Gong RPH are for informational purposes only.