Individual ProviderMin Woo BangPharmacistPharmacy Service ProvidersPractice Address101 Bodin Cir, Fairfield, CA 94535-1809(707) 423-3459(707) 423-7656PECOS EnrollmentBased on the most recent information from CMS, provider Min Woo Bang 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 11:10 AM.Profile DetailsProvider ID1093220782Provider TypeIndividualFull NameBang, Min WooTitleDr.CredentialPHARM. D.GenderMaleSole ProprietorNoEnumeration Date12/4/2017Last Updated2/19/2020Contact InformationPractice LocationPractice Address101 Bodin Cir, Fairfield, CA 94535-1809Phone(707) 423-3459FaxUnlisted FaxMailing LocationMailing Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(707) 423-7656FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense051299633Illinois