Provider Demographics
NPI:1851555841
Name:WANG, UERICA KUANWEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:UERICA
Middle Name:KUANWEN
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 1:252 LIEBRE CT
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5802
Mailing Address - Country:US
Mailing Address - Phone:650-814-0788
Mailing Address - Fax:
Practice Address - Street 1:252 LIEBRE CT
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-5802
Practice Address - Country:US
Practice Address - Phone:650-814-0788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH58369183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist