MEDICARE: JANE HONG 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	63158	TX

General Provider Information

NPI Number	:	1891395372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE HONG PHARMD

Provider Business Mailing Address
First Line	:	5405 S RICE AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-2113
Country	:	US
Telephone Number	:	713-860-9245
Fax Number	:	713-860-9246

Provider Business Practice Location Address
First Line	:	5405 S RICE AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-2113
Country	:	US
Telephone Number	:	713-860-9245
Fax Number	:	713-860-9246

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

Provider Enumeration Date	:	10/26/2020
Last Update Date	:	10/26/2020

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Directions to “ JANE HONG PHARMD” Practice Location

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