Organization
ELTON Y. WONG
Active
Other names
New Chinatown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELTON Y WONG PHARM D (OWNER)
(510) 839-8839
Entity
Organization
Contact information
Practice address
719 E 12TH ST, OAKLAND, CA 94606-3624
(510) 839-8839
(510) 839-8696
Mailing address
719 E 12TH ST, OAKLAND, CA 94606-3624
(510) 839-8839
(510) 839-8696
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY38028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0579447
NCPDP
—
05
—
PHA380280
—
CA
Enumeration date
08/29/2005
Last updated
06/16/2008
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