Provider Demographics
NPI:1407116908
Name:WANG, KAREN HSIAO-LING (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:HSIAO-LING
Last Name:WANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-4703
Mailing Address - Country:US
Mailing Address - Phone:304-376-5258
Mailing Address - Fax:
Practice Address - Street 1:452 CENTER ST
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-4703
Practice Address - Country:US
Practice Address - Phone:304-376-5258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0005788183500000X
MD14158183500000X
DEA1-0002742183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist