Individual
JENNIFER HAN JU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
21540 30TH DR SE STE 330, BOTHELL, WA 98021-7015
(626) 991-9641
Mailing address
21540 30TH DR SE STE 330, BOTHELL, WA 98021-7015
(626) 991-9641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60292357
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60292357
PHARMACIST LICENSE
WA
Enumeration date
01/04/2013
Last updated
12/06/2016
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