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NPI Code Detail

MEDICARE: DR. JOSEPH JAMES KUPIEC III PHARMD

MEDICARE: DR. JOSEPH JAMES KUPIEC III PHARMD
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
1183500000XPharmacist0202205333VA

General Provider Information

NPI Number : 1356344808
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH JAMES KUPIEC III PHARMD
Provider Business Mailing Address
First Line : 2230 MAPLEWOOD AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23220-5819
Country : US
Telephone Number : 804-647-0467
Fax Number :
Provider Business Practice Location Address
First Line : 8903 THREE CHOPT RD
Second Line :
City : RICHMOND
State : VA
Zip : 23229-4614
Country : US
Telephone Number : 804-285-3428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2005
Last Update Date : 07/08/2007

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