Individual
CHARISSA ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 ARROW GRAND CIR, COVINA, CA 91722-2147
(805) 624-9898
Mailing address
300 ELM ST, ALHAMBRA, CA 91801-3009
(805) 624-9898
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
78246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311665
NABP ID
—
01
—
78246
PHARMACY LICENSE
CA
01
—
D2051502
DRIVER'S LICENSE
CA
Enumeration date
12/08/2021
Last updated
12/08/2021
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