Individual
ANDREA LEE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1107 FAIR OAKS AVE # 139, SOUTH PASADENA, CA 91030-3311
(626) 278-5044
Mailing address
1107 FAIR OAKS AVE # 139, SOUTH PASADENA, CA 91030-3311
(626) 278-5044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
31311
TX
1835P1300X
Psychiatric Pharmacist
43500
CA
1835X0200X
Oncology Pharmacist
Primary
43500
CA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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