Individual provider · NPI-1

Sue Chang

Pharmacist · Costa Mesa, CA

NPI number1043713258
StatusActive
Last updated in NPPESMar 14, 2018

Details

NPI
1043713258
Entity type
Individual (NPI-1)
Name
Sue Chang
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 14, 2018
Last updated
Mar 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist38510CAYes

Practice location

1835 Newport Blvd # C
Costa Mesa, CA 92627-5031

Phone 949-722-1750

Mailing address

34 Fort Sumter
Irvine, CA 92620-2530

Phone 714-746-6724

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