Healthcare Provider Details

I. General information

NPI: 1427619295
Provider Name (Legal Business Name): JOANNA HUANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12505 E 16TH AVE
AURORA CO
80045
US

IV. Provider business mailing address

13650 E COLFAX AVE APT 3523
AURORA CO
80011-6931
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-5340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA.0022272
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: