Organization
SHUMWONG CORPORATION
Active
Other names
Sycamore Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN RANDALL WONG M.S., RPH (PHARMACIST-IN-CHARGE)
(925) 682-5600
Entity
Organization
Contact information
Practice address
2485 HIGH SCHOOL AVE, SUITE 114, CONCORD, CA 94520-1819
(925) 682-5600
(925) 682-0609
Mailing address
2485 HIGH SCHOOL AVE, SUITE 114, CONCORD, CA 94520-1819
(925) 682-5600
(925) 682-0609
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY30974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0550916
NCPDP
—
05
—
PHA308740
—
CA
01
—
PHY30874
PHARMACY PERMIT
CA
Enumeration date
01/24/2007
Last updated
03/07/2023
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