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NPI Code Detail

MEDICARE: DR. KEE JOO PAIK PHARM.D

MEDICARE: DR. KEE JOO PAIK 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
1183500000XPharmacist040370TX

General Provider Information

NPI Number : 1366779423
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEE JOO PAIK PHARM.D
Provider Business Mailing Address
First Line : 3301 DENTON HWY
Second Line : WALGREENS.CO.
City : HALTOM CITY
State : TX
Zip : 76117-3200
Country : US
Telephone Number : 817-222-9247
Fax Number : 817-222-2948
Provider Business Practice Location Address
First Line : 3301 DENTON HWY
Second Line : WALGREENS.CO.
City : HALTOM CITY
State : TX
Zip : 76117-3200
Country : US
Telephone Number : 817-222-9247
Fax Number : 817-222-2948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2009
Last Update Date : 11/11/2009

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Directions to “ DR. KEE JOO PAIK PHARM.D” Practice Location

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