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NPI Code Detail

MEDICARE: DR. PAUL KIARIE MUCHENE I PHARM.D

MEDICARE:  DR. PAUL KIARIE MUCHENE I PHARM.D
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
1183500000XPharmacistRPH027404GA

General Provider Information

NPI Number : 1326585068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL KIARIE MUCHENE I PHARM.D
Provider Business Mailing Address
First Line : 1817 DALLAS NEBO RD
Second Line :
City : DOUGLASVILLE
State : GA
Zip : 30134-4865
Country : US
Telephone Number : 678-755-2631
Fax Number : 678-383-8715
Provider Business Practice Location Address
First Line : 1817 DALLAS NEBO RD
Second Line :
City : DOUGLASVILLE
State : GA
Zip : 30134-4865
Country : US
Telephone Number : 678-383-8715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2017
Last Update Date : 01/19/2017

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Directions to “ DR. PAUL KIARIE MUCHENE I PHARM.D” Practice Location

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