Kenneth Leslie Corum Jr.

Pharmacist · Wildomar, CA

Individual Active NPI

NPI number 1629324181

Practice location

36010 Hidden Springs Rd
Wildomar, CA 92595-7622
Phone
(951) 678-1755
Fax
(951) 678-7677

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NPI record

NPI
1629324181
Entity type
Individual (Type 1)
Enumeration date
August 1, 2012
Last updated
August 1, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 65205 CA

About Kenneth Corum

Kenneth Leslie Corum Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 36010 Hidden Springs Rd, Wildomar, CA 92595-7622. The NPI number 1629324181 was assigned on August 1, 2012 and the record was last updated on August 1, 2012.

Kenneth Corum lists a license in the registry: #65205 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Leslie Corum Jr.?

The NPI number is 1629324181.

What is the phone number of Kenneth Corum?

The phone number listed for the practice location is (951) 678-1755.

Where is Kenneth Corum located?

36010 Hidden Springs Rd, Wildomar, CA 92595-7622.

What is the taxonomy code for Kenneth Corum?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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