=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760346563
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAREN WEILIANG KANG PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2025
-----------------------------------------------------
Last Update Date | 12/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 DANTON LN
-----------------------------------------------------
City | MULLICA HILL
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08062-4728
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-202-1432
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10 DANTON LN
-----------------------------------------------------
City | MULLICA HILL
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08062-4728
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-202-1432
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 051.300897
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------