Provider Demographics
NPI:1760738330
Name:WANG, LIH-WERN (PHARMD)
Entity Type:Individual
Prefix:
First Name:LIH-WERN
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 DIVISADERO ST # 831
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-2213
Mailing Address - Country:US
Mailing Address - Phone:415-707-0117
Mailing Address - Fax:
Practice Address - Street 1:530 DIVISADERO ST
Practice Address - Street 2:PMB 831
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117
Practice Address - Country:US
Practice Address - Phone:207-615-1265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25608183500000X
ARPD15307183500000X
TN42035183500000X
LAPST.022244183500000X
TX61904183500000X
VA0202217573183500000X
OK15251183500000X
MI5302047740183500000X
MAPH238606183500000X
KS1-110011183500000X
HIPH-4424183500000X
AL22337183500000X
FLPS63742183500000X
GARPH033582183500000X
ORRPH-0013358183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist