Healthcare Provider Details

I. General information

NPI: 1073053278
Provider Name (Legal Business Name): MAGGIE SABRINA HUANG RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 05/03/2022
Certification Date: 05/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 EL CAMINO AVE
SACRAMENTO CA
95815-2513
US

IV. Provider business mailing address

840 EL CAMINO AVE
SACRAMENTO CA
95815-2513
US

V. Phone/Fax

Practice location:
  • Phone: 916-643-9940
  • Fax:
Mailing address:
  • Phone: 916-643-9940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number75016
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: