Individual
FAY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1367 DOUBLE CHURCHES RD, COLUMBUS, GA 31904
(678) 431-8696
Mailing address
1367 DOUBLE CHURCHES RD, COLUMBUS, GA 31904-2601
(678) 431-8696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028840
GA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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