Healthcare Provider Details

I. General information

NPI: 1265767875
Provider Name (Legal Business Name): YING HUFFMAN PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2009
Last Update Date: 10/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 MONTROSE DR
MOORESVILLE NC
28115-3458
US

IV. Provider business mailing address

162 MONTROSE DR
MOORESVILLE NC
28115-3458
US

V. Phone/Fax

Practice location:
  • Phone: 803-463-6540
  • Fax:
Mailing address:
  • Phone: 803-463-6540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20103
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: