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NPI Code Detail

MEDICARE: JEANETTE HONG

MEDICARE: JEANETTE HONG
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
1183500000XPharmacistRPH50398CA

General Provider Information

NPI Number : 1578936373
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANETTE HONG
Provider Business Mailing Address
First Line : 5585 ROSEMEAD BLVD
Second Line :
City : TEMPLE CITY
State : CA
Zip : 91780-1802
Country : US
Telephone Number : 626-287-9809
Fax Number : 626-287-8381
Provider Business Practice Location Address
First Line : 5585 ROSEMEAD BLVD
Second Line :
City : TEMPLE CITY
State : CA
Zip : 91780-1802
Country : US
Telephone Number : 626-287-9809
Fax Number : 626-287-8381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2015
Last Update Date : 11/03/2015

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Directions to “ JEANETTE HONG ” Practice Location

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