MEDICARE: KEVIN CHEN 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
1	183500000X	Pharmacist	067690	NY

General Provider Information

NPI Number	:	1457933814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN CHEN PHARMD

Provider Business Mailing Address
First Line	:	6405 232ND ST
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-2717
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2155 3RD AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-4707
Country	:	US
Telephone Number	:	212-534-9781
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2021
Last Update Date	:	06/09/2021

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Directions to “ KEVIN CHEN PHARMD” Practice Location

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