Individual
LYDIA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4400 GOLF ACRES DR STE C, CHARLOTTE, NC 28208-5976
(704) 512-7548
Mailing address
6036 CHAMPIONS CREST DR, CHARLOTTE, NC 28269-6252
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26194
NC
Other
Enumeration date
10/03/2012
Last updated
09/13/2017
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