Individual
JOHNNY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
419 35TH AVE S, SEATTLE, WA 98144-2604
(206) 890-0150
Mailing address
PO BOX 22445, SEATTLE, WA 98122-0445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60280833
WA
Other
Enumeration date
06/15/2012
Last updated
06/20/2012
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