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NPI Code Detail

MEDICARE: JIANGSHAN HUANG PHARMD

MEDICARE: JIANGSHAN HUANG 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
1183500000XPharmacist82658CA

General Provider Information

NPI Number : 1508476490
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIANGSHAN HUANG PHARMD
Provider Business Mailing Address
First Line : 2025 MORSE AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-2115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 MUIR RD
Second Line :
City : MARTINEZ
State : CA
Zip : 94553-4672
Country : US
Telephone Number : 925-372-1628
Fax Number : 866-518-3239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2020
Last Update Date : 03/18/2025

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Directions to “ JIANGSHAN HUANG PHARMD” Practice Location

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