Provider Demographics
NPI:1184177040
Name:CHIANG, HELEN CHIAJUNG (PHARMD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:CHIAJUNG
Last Name:CHIANG
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 1:201 MCANDREWS RD W
Mailing Address - Street 2:APT 317
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-5708
Mailing Address - Country:US
Mailing Address - Phone:612-300-5486
Mailing Address - Fax:
Practice Address - Street 1:1133 ROBERT ST S
Practice Address - Street 2:
Practice Address - City:WEST ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-2304
Practice Address - Country:US
Practice Address - Phone:651-455-5590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN122978183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist