Individual
MARK WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
650 E INDIAN SCHOOL RD, SECTION 119A, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
18250 N CAVE CREEK RD UNIT 191, PHOENIX, AZ 85032-1048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14311
AZ
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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