MEDICARE: YUFENG WANG 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
1	183500000X	Pharmacist	PS57874	FL

General Provider Information

NPI Number	:	1023592755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUFENG WANG PHARMD

Provider Business Mailing Address
First Line	:	797 TEAGUE TRL APT 12304
Second Line	:
City	:	LADY LAKE
State	:	FL
Zip	:	32159-3176
Country	:	US
Telephone Number	:	321-960-1020
Fax Number	:

Provider Business Practice Location Address
First Line	:	2005 N STATE ROAD 19
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32726-6782
Country	:	US
Telephone Number	:	352-483-6183
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2018
Last Update Date	:	09/19/2018

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Directions to “ YUFENG WANG PHARMD” Practice Location

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