Organization
STEPHEN SHING WONG
Active
Other names
MASON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WONG (OWNER PHCST)
(916) 428-7500
Entity
Organization
Contact information
Practice address
4600 47TH AVE, STE 110, SACRAMENTO, CA 95824-3923
(916) 428-7500
(916) 421-0506
Mailing address
4600 47TH AVE, STE 110, SACRAMENTO, CA 95824-3923
(916) 428-7500
(916) 421-0506
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY40590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2082997
PK
—
05
—
PHA405900
—
CA
Enumeration date
11/03/2006
Last updated
07/25/2014
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