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NPI Code Detail

MEDICARE: ERIC LI-MING HUANG BSC, PHARMD

MEDICARE: ERIC LI-MING HUANG BSC, PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist9512CT
21835P1200XPharmacotherapy Pharmacist9512CT

General Provider Information

NPI Number : 1013902774
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC LI-MING HUANG BSC, PHARMD
Provider Business Mailing Address
First Line : 135 BATTIS RD
Second Line :
City : HAMDEN
State : CT
Zip : 06514-2912
Country : US
Telephone Number : 203-863-3199
Fax Number :
Provider Business Practice Location Address
First Line : 5 PERRYRIDGE RD
Second Line :
City : GREENWICH
State : CT
Zip : 06830-4608
Country : US
Telephone Number : 203-863-3199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 05/23/2019

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