A Wong Valid NPI
Individual provider · Pharmacist · Rocklin, CA
- NPI
- 1396149159
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH 30559 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-10-22
- Last updated
- 2014-10-22
Practice location
5322 Thunder Ridge Cir
Rocklin, CA 95765-4841
(191) 676-5400