Individual
AEKYONG WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-7800
Mailing address
1018 WOODBINE WAY, SAN JOSE, CA 95117-2964
(408) 421-6550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH59870
CA
Other
Enumeration date
03/20/2008
Last updated
12/28/2021
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