MEDICARE: DR. JIALYNN 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	16413	NC

General Provider Information

NPI Number	:	1639392632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIALYNN WANG PHARMD

Provider Business Mailing Address
First Line	:	10001 NEW HAMPSHIRE AVE RM 2152
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1707
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10001 NEW HAMPSHIRE AVE ROOM 2152
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0002
Country	:	US
Telephone Number	:	240-402-1432
Fax Number	:

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	03/22/2018

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