MEDICARE: XIAOYING KONG 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
1	183500000X	Pharmacist	03330835	OH

General Provider Information

NPI Number	:	1003525536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIAOYING KONG RPH

Provider Business Mailing Address
First Line	:	2743 GILCHRIST RD STE 200
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44305-4413
Country	:	US
Telephone Number	:	330-376-1325
Fax Number	:	330-374-0195

Provider Business Practice Location Address
First Line	:	2743 GILCHRIST RD STE 200
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44305-4413
Country	:	US
Telephone Number	:	330-376-1325
Fax Number	:	330-374-0195

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

Provider Enumeration Date	:	11/23/2022
Last Update Date	:	11/23/2022

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Directions to “ XIAOYING KONG RPH” Practice Location

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