Healthcare Provider Details

I. General information

NPI: 1114474848
Provider Name (Legal Business Name): HELEN HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2016
Last Update Date: 09/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 EDGEWOOD RD
EDGEWOOD MD
21040-2400
US

IV. Provider business mailing address

702 EDGEWOOD RD
EDGEWOOD MD
21040-2400
US

V. Phone/Fax

Practice location:
  • Phone: 410-671-9780
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24445
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: