MEDICARE: HYOEUN KANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	31845	NC

General Provider Information

NPI Number	:	1033809785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HYOEUN KANG

Provider Business Mailing Address
First Line	:	2051 W MILLBROOK RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-6332
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2051 W MILLBROOK RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-6332
Country	:	US
Telephone Number	:	919-787-1612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	07/18/2023

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Directions to “ HYOEUN KANG ” Practice Location

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