Healthcare Provider Details

I. General information

NPI: 1326517244
Provider Name (Legal Business Name): CANMING HUANG PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2018
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 STOCKTON ST
SAN FRANCISCO CA
94133-3354
US

IV. Provider business mailing address

2574 SAN BRUNO AVE FL 1 PHARMACY
SAN FRANCISCO CA
94134-1505
US

V. Phone/Fax

Practice location:
  • Phone: 415-391-9686
  • Fax:
Mailing address:
  • Phone: 781-888-7395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number79659
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: