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NPI Code Detail

MEDICARE: DR. KEITH LIM PHARMD

MEDICARE: DR. KEITH LIM 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
1183500000XPharmacist0202214300VA

General Provider Information

NPI Number : 1598141897
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEITH LIM PHARMD
Provider Business Mailing Address
First Line : 7601 GRANBY ST
Second Line :
City : NORFOLK
State : VA
Zip : 23505-2508
Country : US
Telephone Number : 757-489-1157
Fax Number :
Provider Business Practice Location Address
First Line : 7601 GRANBY ST
Second Line :
City : NORFOLK
State : VA
Zip : 23505-2508
Country : US
Telephone Number : 757-489-1157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2015
Last Update Date : 08/10/2015

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Directions to “ DR. KEITH LIM PHARMD” Practice Location

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