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
Mailing address3500 Brumback Blvd, Kenosha, WI 53144-4816

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