Individual
BRIAN JIUN CHIANG WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4351 E 104TH AVE, THORNTON, CO 80233-4451
(303) 501-1725
Mailing address
4351 E 104TH AVE, THORNTON, CO 80233-4451
(303) 501-1725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0024317
CO
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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