MEDICARE: XIAOHE MAI

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
1	183500000X	Pharmacist	1-16682	KS

General Provider Information

NPI Number	:	1760889406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIAOHE MAI

Provider Business Mailing Address
First Line	:	521 E CHESTNUT ST
Second Line	:
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-9410
Country	:	US
Telephone Number	:	785-238-1118
Fax Number	:	785-238-6323

Provider Business Practice Location Address
First Line	:	521 E CHESTNUT ST
Second Line	:
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-9410
Country	:	US
Telephone Number	:	785-238-1118
Fax Number	:	785-238-6323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2014
Last Update Date	:	11/24/2014

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Directions to “ XIAOHE MAI ” Practice Location

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