Willis Pang PHARM.D.

NPI 1053407916 - Pharmacist - 183500000X

NPI Details
NPI 1053407916
Gender Male
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1761 BROADWAY ST
SUITE 209
VALLEJO CA, 94589-2226, US
Phone (707) 645-2526
Fax (707) 645-2530
Business Location
907 SANTA CRUZ DR
PLEASANT HILL CA, 94523-2328, US
Phone (707) 645-2526
Fax (707) 645-2530
Toxanomy
Taxonomy Code 183500000X
License State California
License Number 53412
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According to our database, Willis Pang PHARM.D. NPI is 1053407916, taxonomy code is 183500000X and license number is 53412, license state is located at California. Willis Pang PHARM.D. physically located at 1761 Broadway St, Vallejo CA, 94589-2226. NPI Number Willis Pang PHARM.D. has the Individual type.

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1053407916 NPI number is provided on an as is basis without warranty of any kind. 1053407916 is maintained by the National Plan & Provider Enumeration System. The contents of Willis Pang PHARM.D. are for informational purposes only.