Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eun Joo Song

Individual provider Pharmacist · NPI 1801494380

Eun Joo Song is a Pharmacist in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
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Practice location Address checks out

3500 Brumback Blvd
Kenosha, WI 53144-4816
Phone: (773) 502-1004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 17834-40 (WI)

Record details

NPI number1801494380
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2020
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020

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