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NPI Code Detail

MEDICARE: AHYOUNG CHANG

MEDICARE:   AHYOUNG  CHANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH61573118WA

General Provider Information

NPI Number : 1366335994
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHYOUNG CHANG
Provider Business Mailing Address
First Line : 10223 GRAVELLY LAKE DR SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98499-5004
Country : US
Telephone Number : 253-581-7181
Fax Number :
Provider Business Practice Location Address
First Line : 10223 GRAVELLY LAKE DR SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98499-5004
Country : US
Telephone Number : 253-581-7181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2025
Last Update Date : 06/02/2025

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Directions to “ AHYOUNG CHANG ” Practice Location

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