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NPI Code Detail

MEDICARE: CLAIRE EUN NA

MEDICARE:   CLAIRE EUN NA
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
1183500000XPharmacist81041CA
21835P1200XPharmacotherapy Pharmacist3165403CA

General Provider Information

NPI Number : 1700539483
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE EUN NA
Provider Business Mailing Address
First Line : 458 HARTFORD AVE APT 408
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-4014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 458 HARTFORD AVE APT 408
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-4014
Country : US
Telephone Number : 213-718-2208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2022
Last Update Date : 02/01/2022

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Directions to “ CLAIRE EUN NA ” Practice Location

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