Individual
BRIAN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3110 MOUNT VERNON AVE, APT 312, ALEXANDRIA, VA 22305-2664
(213) 255-0431
Mailing address
3110 MOUNT VERNON AVE, APT 312, ALEXANDRIA, VA 22305-2664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214201
VA
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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