Individual
ANNE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1438
(747) 210-4623
Mailing address
11640 MAYFIELD AVE APT 505, LOS ANGELES, CA 90049-5773
(626) 701-7432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71212
CA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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