Healthcare Provider Details

I. General information

NPI: 1720342611
Provider Name (Legal Business Name): BECKY CHANG PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2012
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1237 COOLIDGE HWY
TROY MI
48084-7012
US

IV. Provider business mailing address

1237 COOLIDGE HWY
TROY MI
48084-7012
US

V. Phone/Fax

Practice location:
  • Phone: 238-519-1321
  • Fax: 248-519-1323
Mailing address:
  • Phone: 248-519-1321
  • Fax: 248-519-1323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302413372
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number056771
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: