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NPI Code Detail

MEDICARE: DR. JOANNE KUO PHARMD

MEDICARE: DR. JOANNE KUO 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
1183500000XPharmacist59113CA

General Provider Information

NPI Number : 1679868574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOANNE KUO PHARMD
Provider Business Mailing Address
First Line : 4200 E 4TH ST
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5250
Country : US
Telephone Number : 909-579-3041
Fax Number :
Provider Business Practice Location Address
First Line : 4200 E 4TH ST
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5250
Country : US
Telephone Number : 909-579-3041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 06/20/2011

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