MEDICARE: NAVAS SOFIA YOONUS-KUNJU

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
1	183500000X	Pharmacist	23508	TN
2	183500000X	Pharmacist	13466	KY
3	183500000X	Pharmacist	26022207A	IN

General Provider Information

NPI Number	:	1639478993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAVAS SOFIA YOONUS-KUNJU

Provider Business Mailing Address
First Line	:	1429 W RUNNING BROOK RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5045
Country	:	US
Telephone Number	:	615-525-3142
Fax Number	:

Provider Business Practice Location Address
First Line	:	1429 W RUNNING BROOK RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5045
Country	:	US
Telephone Number	:	615-525-3142
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2011
Last Update Date	:	03/24/2011

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