MEDICARE: LANA DANG PHARM.D

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	52838	CA

General Provider Information

NPI Number	:	1285764365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANA DANG PHARM.D

Provider Business Mailing Address
First Line	:	15555 HUNTINGTON VILLAGE LN APT 219
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3064
Country	:	US
Telephone Number	:	909-263-4862
Fax Number	:

Provider Business Practice Location Address
First Line	:	4550 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-1513
Country	:	US
Telephone Number	:	562-984-1428
Fax Number	:	562-984-4411

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

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/08/2007

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Directions to “ LANA DANG PHARM.D” Practice Location

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