Healthcare Provider Details

I. General information

NPI: 1093115743
Provider Name (Legal Business Name): DANA MAY YANG PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2014
Last Update Date: 08/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 BLOWING ROAD BLVD
LENIOR NC
28645
US

IV. Provider business mailing address

4195 OLD BRITTAIN ROAD
HICKORY NC
28602
US

V. Phone/Fax

Practice location:
  • Phone: 828-754-2421
  • Fax:
Mailing address:
  • Phone: 913-424-3439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24469
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: