Individual
DR. PETER WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
899 SIR WINSTON ST, HENDERSON, NV 89052-4959
(323) 868-1018
Mailing address
899 SIR WINSTON ST, HENDERSON, NV 89052-4959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18738
NV
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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