Gordon C Wong PHARM. D

NPI 1063596211 - Pharmacist - 183500000X

NPI Details
NPI 1063596211
Gender Male
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
155 HERITAGE AVE
CLOVIS CA, 93619-7612, US
Phone (559) 324-8639
Fax
Business Location
155 HERITAGE AVE
CLOVIS CA, 93619-7612, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State California
License Number 49878
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According to our database, Gordon C Wong PHARM. D NPI is 1063596211, taxonomy code is 183500000X and license number is 49878, license state is located at California. Gordon C Wong PHARM. D physically located at 155 Heritage Ave, Clovis CA, 93619-7612. NPI Number Gordon C Wong PHARM. D has the Individual type.

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1063596211 NPI number is provided on an as is basis without warranty of any kind. 1063596211 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon C Wong PHARM. D are for informational purposes only.