Healthcare Provider Details

I. General information

NPI: 1972285187
Provider Name (Legal Business Name): WHITNEY PUYANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 HARRISON AVE
HARRISON OH
45030-1522
US

IV. Provider business mailing address

1032 HARRISON AVE
HARRISON OH
45030-1522
US

V. Phone/Fax

Practice location:
  • Phone: 513-367-2127
  • Fax:
Mailing address:
  • Phone: 513-367-2127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP457699
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: