Tina Wong PHARM.D

NPI 1023391109 - Pharmacist - 183500000X

NPI Details
NPI 1023391109
Gender Female
Enumeration Date 09/24/2011
Last Updated 09/24/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
13231 VICTORY BLVD
VAN NUYS CA, 91401-2025, US
Phone (818) 623-9358
Fax
Business Location
19726 CRYSTAL RIDGE LN
NORTHRIDGE CA, 91326-3857, US
Phone (818) 832-8541
Fax
Toxanomy
Taxonomy Code 183500000X
License State California
License Number 56716
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According to our database, Mrs. Tina Wong PHARM.D NPI is 1023391109, taxonomy code is 183500000X and license number is 56716, license state is located at California. Tina Wong PHARM.D physically located at 13231 Victory Blvd, Van Nuys CA, 91401-2025. NPI Number Tina Wong PHARM.D has the Individual type.

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1023391109 NPI number is provided on an as is basis without warranty of any kind. 1023391109 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Wong PHARM.D are for informational purposes only.