MEDICARE: MINGXIANG WANG 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
1	183500000X	Pharmacist	21706	MD

General Provider Information

NPI Number	:	1578962239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINGXIANG WANG PHARMD

Provider Business Mailing Address
First Line	:	5968 TURNABOUT LN APT 6
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3024
Country	:	US
Telephone Number	:	509-592-7335
Fax Number	:

Provider Business Practice Location Address
First Line	:	5968 TURNABOUT LN APT 6
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3024
Country	:	US
Telephone Number	:	509-592-7335
Fax Number	:

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

Provider Enumeration Date	:	08/19/2014
Last Update Date	:	08/19/2014

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Directions to “ MINGXIANG WANG PHARMD” Practice Location

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