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NPI Code Detail

MEDICARE: EMILY AGATHA KAO PHARMD

MEDICARE: EMILY AGATHA KAO PHARMD
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
1183500000XPharmacist051292814IL
2183500000XPharmacist66549CA

General Provider Information

NPI Number : 1093086449
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY AGATHA KAO PHARMD
Provider Business Mailing Address
First Line : 2185 STATION VILLAGE WAY
Second Line : APT 2438
City : SAN DIEGO
State : CA
Zip : 92108-6521
Country : US
Telephone Number : 217-493-2695
Fax Number :
Provider Business Practice Location Address
First Line : 215 N 2ND ST
Second Line :
City : EL CAJON
State : CA
Zip : 92021-7243
Country : US
Telephone Number : 619-401-0761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2012
Last Update Date : 01/17/2012

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Directions to “ EMILY AGATHA KAO PHARMD” Practice Location

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