Individual
DOUGLAS WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 E KENNEDY RD, NORTH WALES, PA 19454-5612
(215) 628-0867
(845) 483-1649
Mailing address
700 E KENNEDY RD, NORTH WALES, PA 19454-5612
(215) 628-0867
(845) 483-1649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
06823
NV
183500000X
Pharmacist
Primary
30301
CA
183500000X
Pharmacist
PH18267
MA
183500000X
Pharmacist
RP043566R
PA
Other
Enumeration date
06/30/2014
Last updated
03/13/2017
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