Healthcare Provider Details

I. General information

NPI: 1720741945
Provider Name (Legal Business Name): YANG HUANG PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2021
Last Update Date: 10/14/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 WEGMANS BLVD
HENRICO VA
23233-7814
US

IV. Provider business mailing address

14924 LITTON DR
MIDLOTHIAN VA
23112-4765
US

V. Phone/Fax

Practice location:
  • Phone: 804-377-4146
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202216720
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: