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NPI Code Detail

MEDICARE: ANTONINO KONG PHARM D.

MEDICARE:   ANTONINO  KONG  PHARM D.
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
1183500000XPharmacistPS55799FL

General Provider Information

NPI Number : 1861944597
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONINO KONG PHARM D.
Provider Business Mailing Address
First Line : 13950 JOG RD
Second Line :
City : WEST DELRAY BEACH
State : FL
Zip : 33446-5903
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13950 JOG RD
Second Line :
City : WEST DELRAY BEACH
State : FL
Zip : 33446-5903
Country : US
Telephone Number : 561-865-1527
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2016
Last Update Date : 10/28/2016

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Directions to “ ANTONINO KONG PHARM D.” Practice Location

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