Provider Demographics
NPI:1013576107
Name:KING, HSIN-TSU (RPH)
Entity Type:Individual
Prefix:
First Name:HSIN-TSU
Middle Name:
Last Name:KING
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:BEN
Other - Middle Name:
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16 KINROSS LN
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-8043
Mailing Address - Country:US
Mailing Address - Phone:919-522-9086
Mailing Address - Fax:
Practice Address - Street 1:1630 ANDREWS RD
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-5100
Practice Address - Country:US
Practice Address - Phone:828-837-5512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22042183500000X
GA019777183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist