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NPI Code Detail

MEDICARE: STEPHANIE DANG RPH

MEDICARE: STEPHANIE DANG RPH
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
1183500000XPharmacist43105TX

General Provider Information

NPI Number : 1053649111
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE DANG RPH
Provider Business Mailing Address
First Line : 12225 HIGHWAY 6
Second Line :
City : FRESNO
State : TX
Zip : 77545-8805
Country : US
Telephone Number : 281-431-4248
Fax Number : 281-431-4056
Provider Business Practice Location Address
First Line : 12225 HIGHWAY 6
Second Line :
City : FRESNO
State : TX
Zip : 77545-8805
Country : US
Telephone Number : 281-431-4248
Fax Number : 281-431-4056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2009
Last Update Date : 12/01/2009

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Directions to “ STEPHANIE DANG RPH” Practice Location

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