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NPI Code Detail

MEDICARE: ANNIE HYUN JIN YOON

MEDICARE:   ANNIE HYUN JIN YOON
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
1183500000XPharmacist28RI04410800NJ

General Provider Information

NPI Number : 1932924107
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIE HYUN JIN YOON
Provider Business Mailing Address
First Line : 135 KINDERKAMACK RD
Second Line :
City : RIVER EDGE
State : NJ
Zip : 07661-1915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 135 KINDERKAMACK RD
Second Line :
City : RIVER EDGE
State : NJ
Zip : 07661-1915
Country : US
Telephone Number : 201-441-9223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2024
Last Update Date : 11/21/2024

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Directions to “ ANNIE HYUN JIN YOON ” Practice Location

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