Individual
BETTY FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
975 SERENO DR, OUTPATIENT PHARMACY, VALLEJO, CA 94589-2441
(707) 651-3764
Mailing address
975 SERENO DR, OUTPATIENT PHARMACY, VALLEJO, CA 94589-2441
(707) 651-3764
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32181
CA
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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