Individual
WAYNE PONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
220 S SENECA RD, EUGENE, OR 97402-2725
(541) 344-0681
Mailing address
220 S SENECA RD, EUGENE, OR 97402-2725
(541) 344-0681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8210
OR
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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