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NPI Code Detail

MEDICARE: MELISSA CHAN-WEI KUO PHARM. D.

MEDICARE: MELISSA CHAN-WEI KUO 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
1183500000XPharmacist67780CA

General Provider Information

NPI Number : 1922359975
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA CHAN-WEI KUO PHARM. D.
Provider Business Mailing Address
First Line : 10621 CARMENITA RD
Second Line : T-0227
City : SANTA FE SPRINGS
State : CA
Zip : 90670-4017
Country : US
Telephone Number : 714-883-2123
Fax Number :
Provider Business Practice Location Address
First Line : 10621 CARMENITA RD
Second Line : T-0227
City : SANTA FE SPRINGS
State : CA
Zip : 90670-4017
Country : US
Telephone Number : 714-883-2123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2012
Last Update Date : 09/28/2012

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