Individual provider · Type 1 NPI

Jae Bum Chang

Pharmacist · Modesto, CA

NPI number 1366719288 Active

Practice location

1101 Mchenry Ave.
Modesto, CA 95350

Call (209) 577-8695 Map

Mailing address

1101 Mchenry Ave
Modesto, CA 95350

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	44601 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1366719288

Jae Bum Chang's National Provider Identifier is 1366719288, issued on Nov 21, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Modesto, CA. The record was last updated on Nov 21, 2011.