IndividualActive
Da Hae Kwon
NPI 1255000220 · Pharmacist · Tamuning, GU
Provider details
- NPI number
- 1255000220
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0202219760 (VA)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
541 S Marine Corps Dr Ste 101
Tamuning, GU 96913-3521
Phone: (671) 646-6337
Mailing address
541 S Marine Corps Dr Ste 101
Tamuning, GU 96913-3521
Additional practice locations (1)
- 1101 Nimmo PkwyVirginia Beach, VA 23456-7730Phone: (757) 427-1655
Registry dates
- Enumerated
- 2021-09-12
- Last updated
- 2022-10-14
- Certified
- 2022-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.