Healthcare Provider Details

I. General information

NPI: 1912832940
Provider Name (Legal Business Name): SARAH CHANG
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 KING OF PRUSSIA RD
RADNOR PA
19087-4557
US

IV. Provider business mailing address

145 KING OF PRUSSIA RD
RADNOR PA
19087-4557
US

V. Phone/Fax

Practice location:
  • Phone: 610-902-4855
  • Fax:
Mailing address:
  • Phone: 610-902-4855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP453856
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: