NPI 1003097320

Johannes Kee Gunawan, RPH

Practitioner Pharmacist Norwalk, TN

Practice location

Address: 680 Connecticut Ave, Norwalk, TN 06854
Phone: (203) 854-8519
Fax: (203) 854-9526
Mailing address: 39 Monroe Street Apartment # 1, New York, NY 10002

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 8699 (CT)

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Registry record

NPI: 1003097320
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2007
Record last updated: 15 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.