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NPI Code Detail

MEDICARE: DR. CANDACE S KAUFFMAN PHARMD, RPH

MEDICARE: DR. CANDACE S KAUFFMAN PHARMD, RPH
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
1183500000XPharmacist21446NC

General Provider Information

NPI Number : 1881988772
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CANDACE S KAUFFMAN PHARMD, RPH
Provider Business Mailing Address
First Line : 610 N MAIN ST
Second Line :
City : WALNUT COVE
State : NC
Zip : 27052-9248
Country : US
Telephone Number : 336-591-4351
Fax Number : 336-591-3053
Provider Business Practice Location Address
First Line : 610 N MAIN ST
Second Line :
City : WALNUT COVE
State : NC
Zip : 27052-9248
Country : US
Telephone Number : 336-591-4351
Fax Number : 336-591-3053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2011
Last Update Date : 06/08/2011

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