Provider Demographics
NPI:1386244135
Name:NG, TERESA W (PHARMD)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:W
Last Name:NG
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 1:5200 WESTPOINTE PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-9126
Mailing Address - Country:US
Mailing Address - Phone:614-876-7165
Mailing Address - Fax:
Practice Address - Street 1:5200 WESTPOINTE PLAZA DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-9126
Practice Address - Country:US
Practice Address - Phone:614-876-7165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202213241183500000X
OH03441373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist