Individual
ELVIS FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3151 SE 14TH ST, DES MOINES, IA 50320-1317
(515) 288-1316
Mailing address
3151 SE 14TH ST, DES MOINES, IA 50320-1317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24911
IA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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