Individual
BENJAMIN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3521 DEL PASO RD, SACRAMENTO, CA 95835-2800
(916) 515-1866
Mailing address
7354 L ARBRE WAY, SACRAMENTO, CA 95831-3857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73203
CA
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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