Individual
JANE JANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-4076
Mailing address
2 WASHINGTON AVE APT 521, NEW HAVEN, CT 06519-1653
(224) 616-0582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015476
CT
183500000X
Pharmacist
051302042
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371414552050
—
IL
Enumeration date
04/11/2020
Last updated
09/30/2021
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