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NPI Code Detail

MEDICARE: HYE WON SONG PHARMD

MEDICARE: HYE WON SONG 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
1183500000XPharmacist61553CA

General Provider Information

NPI Number : 1326386251
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYE WON SONG PHARMD
Provider Business Mailing Address
First Line : 980 E CYPRESS AVE
Second Line :
City : REDDING
State : CA
Zip : 96002-1002
Country : US
Telephone Number : 530-221-5028
Fax Number :
Provider Business Practice Location Address
First Line : 980 E CYPRESS AVE
Second Line :
City : REDDING
State : CA
Zip : 96002-1002
Country : US
Telephone Number : 530-221-5028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2013
Last Update Date : 01/28/2013

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Directions to “ HYE WON SONG PHARMD” Practice Location

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