MEDICARE: DR. XIANGYU WANG 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
1	183500000X	Pharmacist	26031467A	IN

General Provider Information

NPI Number	:	1508738113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. XIANGYU WANG RPH

Provider Business Mailing Address
First Line	:	7411 ASPECT DR UNIT 117
Second Line	:
City	:	GRANGER
State	:	IN
Zip	:	46530-7755
Country	:	US
Telephone Number	:	929-307-7487
Fax Number	:

Provider Business Practice Location Address
First Line	:	2210 EDISON RD
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46615-3514
Country	:	US
Telephone Number	:	574-472-3234
Fax Number	:

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

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

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Directions to “ DR. XIANGYU WANG RPH” Practice Location

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