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Individual

MICHELLE WANG

Active
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Individual

MICHELLE WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD, BCPS

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
81715
CA
183500000X
Pharmacist
S022617
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81715
CALIFORNIA BOARD OF PHARMACY
CA
01
—
S022617
ARIZONA BOARD OF PHARMACY
—
Enumeration date
06/14/2018
Last updated
06/12/2026
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