MEDICARE: JUNE WANG

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	57162	TX

General Provider Information

NPI Number	:	1710585948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNE WANG

Provider Business Mailing Address
First Line	:	9180 BELLAIRE BLVD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-4600
Country	:	US
Telephone Number	:	713-541-1234
Fax Number	:

Provider Business Practice Location Address
First Line	:	9180 BELLAIRE BLVD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-4600
Country	:	US
Telephone Number	:	713-541-1234
Fax Number	:

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

Provider Enumeration Date	:	10/09/2020
Last Update Date	:	10/09/2020

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Directions to “ JUNE WANG ” Practice Location

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