Individual
DR. BECKY WONG
Active
Individual
DR. BECKY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP441290
PA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A1-0003704
DE
1835P1300X
Psychiatric Pharmacist
Primary
A1-0003704
DE
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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