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NPI Code Detail

MEDICARE: LILLY KIEUNGA DAO PHARM D

MEDICARE:   LILLY KIEUNGA DAO  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
1183500000XPharmacist43426TX

General Provider Information

NPI Number : 1275861239
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLY KIEUNGA DAO PHARM D
Provider Business Mailing Address
First Line : 1180 CLEAR LAKE CITY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77062-8103
Country : US
Telephone Number : 281-218-0184
Fax Number : 281-218-0182
Provider Business Practice Location Address
First Line : 1180 CLEAR LAKE CITY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77062-8103
Country : US
Telephone Number : 281-218-0184
Fax Number : 281-218-0182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2009
Last Update Date : 12/01/2009

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Directions to “ LILLY KIEUNGA DAO PHARM D” Practice Location

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