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NPI Code Detail

MEDICARE: DR. KONG LI PHARMD

MEDICARE: DR. KONG LI 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
1183500000XPharmacist48081TX

General Provider Information

NPI Number : 1306119169
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KONG LI PHARMD
Provider Business Mailing Address
First Line : 7125 IMPERIAL RIDGE DR
Second Line :
City : EL PASO
State : TX
Zip : 79912-7205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8050 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79932-1645
Country : US
Telephone Number : 915-585-0491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2012
Last Update Date : 12/27/2022

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Directions to “ DR. KONG LI PHARMD” Practice Location

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