Provider Demographics
NPI:1962622829
Name:SY, FANGYAN ZHENG (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FANGYAN
Middle Name:ZHENG
Last Name:SY
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 1:3050 BARCLAY WAY
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9464
Mailing Address - Country:US
Mailing Address - Phone:734-213-1375
Mailing Address - Fax:
Practice Address - Street 1:300 N INGALLS ST
Practice Address - Street 2:7B10 0485
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-2007
Practice Address - Country:US
Practice Address - Phone:734-615-3418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302032339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist