Individual
JACOB WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6 QUEEN ST, NEWTOWN, CT 06470-2146
(203) 426-2595
Mailing address
22 MARIE ALICIA DR, SHELTON, CT 06484-2442
(978) 727-4996
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0017086
CT
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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