MEDICARE: DR. FANGYAN ZHENG SY PHARM.D.

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	5302032339	MI

General Provider Information

NPI Number	:	1962622829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FANGYAN ZHENG SY PHARM.D.

Provider Business Mailing Address
First Line	:	3050 BARCLAY WAY
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48105-9464
Country	:	US
Telephone Number	:	734-213-1375
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 N INGALLS ST
Second Line	:	7B10 0485
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-2007
Country	:	US
Telephone Number	:	734-615-3418
Fax Number	:

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	07/08/2007

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