Healthcare Provider Details

I. General information

NPI: 1962513838
Provider Name (Legal Business Name): VICKY C HUANG PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 M ST NW APT 1004
WASHINGTON DC
20005-4310
US

IV. Provider business mailing address

1112 M ST NW APT 1004
WASHINGTON DC
20005-4310
US

V. Phone/Fax

Practice location:
  • Phone: 415-412-8749
  • Fax:
Mailing address:
  • Phone: 415-412-8749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number048854
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: