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NPI Code Detail

MEDICARE: KUN QIAN RPH., PHARM.D.

MEDICARE: KUN QIAN RPH., 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
1183500000XPharmacist5302038872MI

General Provider Information

NPI Number : 1578956165
Entity Type Code : Individual
Provider Name (Legal Business Name) : KUN QIAN RPH., PHARM.D.
Provider Business Mailing Address
First Line : 26800 JOHN R RD
Second Line :
City : MADISON HEIGHTS
State : MI
Zip : 48071-3621
Country : US
Telephone Number : 248-546-2872
Fax Number : 248-546-3354
Provider Business Practice Location Address
First Line : 26800 JOHN R RD
Second Line :
City : MADISON HEIGHTS
State : MI
Zip : 48071-3621
Country : US
Telephone Number : 248-546-2872
Fax Number : 248-546-3354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2015
Last Update Date : 03/06/2015

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Directions to “ KUN QIAN RPH., PHARM.D.” Practice Location

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