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NPI Code Detail

MEDICARE: DR. STEPHANIE KWAN PHARMD

MEDICARE: DR. STEPHANIE KWAN 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
1183500000XPharmacist018893KY
2183500000XPharmacist19479NV

General Provider Information

NPI Number : 1588150155
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE KWAN PHARMD
Provider Business Mailing Address
First Line : 8101 W FLAMINGO RD UNIT 1176
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-7414
Country : US
Telephone Number : 702-938-7544
Fax Number :
Provider Business Practice Location Address
First Line : 7151 W CRAIG RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-6511
Country : US
Telephone Number : 702-839-9256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2018
Last Update Date : 07/07/2018

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Directions to “ DR. STEPHANIE KWAN PHARMD” Practice Location

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