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NPI Code Detail

MEDICARE: DR. ABISOLA KUNNU PHARMD

MEDICARE: DR. ABISOLA KUNNU 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
1183500000XPharmacist18498NC

General Provider Information

NPI Number : 1629382486
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABISOLA KUNNU PHARMD
Provider Business Mailing Address
First Line : 2019 N MAIN ST
Second Line :
City : HIGH POINT
State : NC
Zip : 27262-2133
Country : US
Telephone Number : 336-885-7766
Fax Number : 336-885-7787
Provider Business Practice Location Address
First Line : 2019 N MAIN ST
Second Line :
City : HIGH POINT
State : NC
Zip : 27262-2133
Country : US
Telephone Number : 336-885-7766
Fax Number : 336-885-7787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2010
Last Update Date : 08/03/2010

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