Healthcare Provider Details

I. General information

NPI: 1780505123
Provider Name (Legal Business Name): YIFAN WANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 WAKE FOREST RD STE 300
RALEIGH NC
27609-7300
US

IV. Provider business mailing address

3320 WAKE FOREST RD STE 300
RALEIGH NC
27609-7300
US

V. Phone/Fax

Practice location:
  • Phone: 919-576-8066
  • Fax: 919-576-8825
Mailing address:
  • Phone: 919-576-8066
  • Fax: 919-576-8825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License Number34355
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: