MEDICARE: DR. ASHLEY KWAN 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
1	3336C0003X	Community/Retail Pharmacy	65214	TX

General Provider Information

NPI Number	:	1265073514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY KWAN PHARM.D.

Provider Business Mailing Address
First Line	:	4319 MILLERS CREEK CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-7942
Country	:	US
Telephone Number	:	281-762-3319
Fax Number	:

Provider Business Practice Location Address
First Line	:	7950 CYPRESS CREEK PKWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-5708
Country	:	US
Telephone Number	:	832-237-8298
Fax Number	:

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

Provider Enumeration Date	:	10/07/2019
Last Update Date	:	10/07/2019

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Directions to “ DR. ASHLEY KWAN PHARM.D.” Practice Location

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