Provider Demographics
NPI:1730472143
Name:DANG, KAREN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:DANG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 FRUITVALE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-2327
Mailing Address - Country:US
Mailing Address - Phone:510-336-9305
Mailing Address - Fax:510-336-9325
Practice Address - Street 1:3550 FRUITVALE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-2327
Practice Address - Country:US
Practice Address - Phone:510-336-9305
Practice Address - Fax:510-336-9325
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist