Most Relevant Information
Provider Data
| NPI Number: | 1003305392 |
| Provider Name: | JOHN WANG |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 68890 |
Most Important Dates
| Enumeration Date: | 05/02/2018 |
| Last Updated: | 05/02/2018 |
Provider Practice Location
88 E ORANGETHORPE AVE
ANAHEIM
CA
928011206
Practice Location Phone/Fax
| Phone: | 7146260014 |
| Fax: |
Provider Mailing Location
88 E ORANGETHORPE AVE
ANAHEIM
CA
928011206
Provider Mailing Phone/Fax
| Phone: | 7146260014 |
| Fax: |