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NPI Code Detail

MEDICARE: PAULINA XAYARIBOUN PHARMD

MEDICARE:   PAULINA  XAYARIBOUN  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
1183500000XPharmacist051307843IL

General Provider Information

NPI Number : 1194681486
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULINA XAYARIBOUN PHARMD
Provider Business Mailing Address
First Line : 804 GARDINER CT
Second Line :
City : NORTH AURORA
State : IL
Zip : 60542-8976
Country : US
Telephone Number : 331-425-9789
Fax Number :
Provider Business Practice Location Address
First Line : 804 GARDINER CT
Second Line :
City : NORTH AURORA
State : IL
Zip : 60542-8976
Country : US
Telephone Number : 331-425-9789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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Directions to “ PAULINA XAYARIBOUN PHARMD” Practice Location

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