Provider Demographics
NPI:1861992653
Name:HUANG, SHELDON X (PHARMACIST)
Entity type:Individual
Prefix:
First Name:SHELDON
Middle Name:X
Last Name:HUANG
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5185 BRUNSWICK DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3611
Mailing Address - Country:US
Mailing Address - Phone:714-209-5957
Mailing Address - Fax:
Practice Address - Street 1:5185 BRUNSWICK DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-3611
Practice Address - Country:US
Practice Address - Phone:714-209-5957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-18
Last Update Date:2018-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78191183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist