Individual
JOANNA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-3912
Mailing address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-3912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03335056
OH
183500000X
Pharmacist
Primary
PH235265
MA
1835P1200X
Pharmacotherapy Pharmacist
3151045
OH
Other
Enumeration date
07/08/2015
Last updated
06/02/2020
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