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NPI Code Detail

MEDICARE: KEVIN Y CHEN PHARMD

MEDICARE: KEVIN Y CHEN 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
1183500000XPharmacist54910CA

General Provider Information

NPI Number : 1831563592
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN Y CHEN PHARMD
Provider Business Mailing Address
First Line : 313 WASHINGTON ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2109
Country : US
Telephone Number : 858-886-7393
Fax Number :
Provider Business Practice Location Address
First Line : 313 WASHINGTON ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2109
Country : US
Telephone Number : 619-291-7170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2015
Last Update Date : 11/18/2015

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Directions to “ KEVIN Y CHEN PHARMD” Practice Location

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