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NPI Code Detail

MEDICARE: HONGGYUNG AN

MEDICARE: HONGGYUNG AN
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
1183500000XPharmacistA1-0015976DE

General Provider Information

NPI Number : 1598547911
Entity Type Code : Individual
Provider Name (Legal Business Name) : HONGGYUNG AN
Provider Business Mailing Address
First Line : 305 WOODSIDE CIR
Second Line :
City : DRESHER
State : PA
Zip : 19025-1821
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2480 S DUPONT HWY
Second Line :
City : CAMDEN
State : DE
Zip : 19934-1226
Country : US
Telephone Number : 302-698-1265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2023
Last Update Date : 10/19/2023

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Directions to “ HONGGYUNG AN ” Practice Location

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