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NPI Code Detail

MEDICARE: DR. KENAN KRIM PHARMD

MEDICARE: DR. KENAN KRIM 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
1183500000XPharmacist30250NC

General Provider Information

NPI Number : 1346817459
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENAN KRIM PHARMD
Provider Business Mailing Address
First Line : 3114 DARIEN DR
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6706
Country : US
Telephone Number : 919-931-2025
Fax Number :
Provider Business Practice Location Address
First Line : 7496 ROCKFISH RD
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28306-8076
Country : US
Telephone Number : 910-424-2905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2021
Last Update Date : 06/07/2021

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