Individual ProviderSarah KangPharmacistPharmacy Service ProvidersPractice Address5415 S Broadway Ave, Tyler, TX 75703-1397(909) 938-9298PECOS EnrollmentBased on the most recent information from CMS, provider Sarah Kang does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1013380781Provider TypeIndividualFull NameKang, SarahGenderFemaleSole ProprietorYesEnumeration Date11/3/2015Last Updated11/3/2015Contact InformationPractice LocationPractice Address5415 S Broadway Ave, Tyler, TX 75703-1397Phone(909) 938-9298FaxUnlisted FaxMailing LocationMailing Address5415 S Broadway Ave, Tyler, TX 75703-1397PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense57372Texas