MEDICARE: HELENA CHE-HAN KANG RPH

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
1	183500000X	Pharmacist	PH239739	MA
2	183500000X	Pharmacist	71674	TX

General Provider Information

NPI Number	:	1861085912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELENA CHE-HAN KANG RPH

Provider Business Mailing Address
First Line	:	2325 W I 20
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-3927
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2325 W I 20
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-3927
Country	:	US
Telephone Number	:	972-660-1527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2021
Last Update Date	:	05/20/2026

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Directions to “ HELENA CHE-HAN KANG RPH” Practice Location

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