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Ken Nou Song

Pharmacist in High Point, NC. Individual provider (NPI-1).

NPI number1174396014
StatusActive
Last updated in NPPESDec 19, 2024

Details

NPI
1174396014
Entity type
Individual (NPI-1)
Name
Ken Nou Song
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 2, 2023
Certification date
Dec 19, 2024
Last updated
Dec 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist32547NCYes

Practice location

601 N Elm St
High Point, NC 27262-4331

Phone 336-878-6048

Mailing address

601 N Elm St
High Point, NC 27262-4331

Phone 336-878-6048

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