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NPI Code Detail

MEDICARE: XIN FANG

MEDICARE: XIN FANG
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
1183500000XPharmacist70911CA

General Provider Information

NPI Number : 1396285458
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIN FANG
Provider Business Mailing Address
First Line : 1351 W CAPITOL AVE
Second Line : WALGREEN
City : WEST SACRAMENTO
State : CA
Zip : 95691-3213
Country : US
Telephone Number : 916-371-3801
Fax Number : 916-371-8401
Provider Business Practice Location Address
First Line : 1351 W CAPITOL AVE
Second Line : WALGREEN
City : WEST SACRAMENTO
State : CA
Zip : 95691-3213
Country : US
Telephone Number : 916-371-3801
Fax Number : 916-371-8401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2017
Last Update Date : 03/08/2017

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Directions to “ XIN FANG ” Practice Location

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