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NPI Code Detail

MEDICARE: LINDA-JOSELINE EYONG NKWANCHUNG PHARM.D

MEDICARE: LINDA-JOSELINE EYONG NKWANCHUNG PHARM.D
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
1183500000XPharmacist53720TX

General Provider Information

NPI Number : 1770916157
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA-JOSELINE EYONG NKWANCHUNG PHARM.D
Provider Business Mailing Address
First Line : 4324 GOLDEN TRIANGLE BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-6314
Country : US
Telephone Number : 817-431-0616
Fax Number : 817-431-5028
Provider Business Practice Location Address
First Line : 6244 LAKE WORTH BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76135-3705
Country : US
Telephone Number : 817-238-0385
Fax Number : 817-238-0382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2013
Last Update Date : 07/05/2022

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Directions to “ LINDA-JOSELINE EYONG NKWANCHUNG PHARM.D” Practice Location

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