Individual
EDMUND WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3001 DODGE ST, OMAHA, NE 68131-2627
(402) 342-3301
Mailing address
3001 DODGE ST, OMAHA, NE 68131-2627
(402) 342-3301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17191
NE
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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