Provider Demographics
NPI:1578956165
Name:QIAN, KUN (RPH, PHARMD)
Entity Type:Individual
Prefix:
First Name:KUN
Middle Name:
Last Name:QIAN
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:QIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH, PHARMD
Mailing Address - Street 1:26800 JOHN R RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3621
Mailing Address - Country:US
Mailing Address - Phone:248-546-2872
Mailing Address - Fax:248-546-3354
Practice Address - Street 1:26800 JOHN R RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3621
Practice Address - Country:US
Practice Address - Phone:248-546-2872
Practice Address - Fax:248-546-3354
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302038872183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist