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NPI Code Detail

MEDICARE: KEVIN L GOINS RPH

MEDICARE: KEVIN L GOINS RPH
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
13336C0003XCommunity/Retail Pharmacy35742TX

General Provider Information

NPI Number : 1336749837
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN L GOINS RPH
Provider Business Mailing Address
First Line : 8202 ITHACA DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76002-4423
Country : US
Telephone Number : 214-476-1601
Fax Number :
Provider Business Practice Location Address
First Line : 8520 N BEACH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4918
Country : US
Telephone Number : 817-514-9524
Fax Number : 817-514-9439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2020
Last Update Date : 10/26/2020

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