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NPI Code Detail

MEDICARE: PERIS KUNGU PHARMD

MEDICARE: PERIS KUNGU 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
13336S0011XSpecialty Pharmacy50709TX

General Provider Information

NPI Number : 1578429494
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERIS KUNGU PHARMD
Provider Business Mailing Address
First Line : 301 N WASHINGTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75246-1754
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 N WASHINGTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75246-1754
Country : US
Telephone Number : 214-865-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ PERIS KUNGU PHARMD” Practice Location

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