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NPI Code Detail

MEDICARE: ANDREW C YANG PHARMD

MEDICARE: ANDREW C YANG 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
1183500000XPharmacist059470NY

General Provider Information

NPI Number : 1093118283
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW C YANG PHARMD
Provider Business Mailing Address
First Line : 197 HALF HOLLOW RD
Second Line : PHARMACY DEPT
City : DIX HILLS
State : NY
Zip : 11746-5859
Country : US
Telephone Number : 631-370-1669
Fax Number : 631-370-1671
Provider Business Practice Location Address
First Line : 197 HALF HOLLOW RD
Second Line : PHARMACY DEPT
City : DIX HILLS
State : NY
Zip : 11746-5859
Country : US
Telephone Number : 631-370-1669
Fax Number : 631-370-1671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2014
Last Update Date : 06/26/2020

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