Doctor Name: | MRS. BRENDA XIU KUANG FANG |
NPI Number: | 1033327333 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | TECHNICIAN |
License Number: | 60726 |
Business Practice Address: | 631 W Duarte Rd Arcadia, CA - 910077332 |
Business Phone Number: | 6264463300 |
Business Fax Number: | 6264463360 |
Mailing Address: | 415 S 3rd Ave Unit A, ARCADIA |
State: | CA |
Postal Code: | 910066140 |
Phone Number: | 6268212086 |
Fax Number: | 6268212086 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 60726 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |