Individual
ALVIN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 602-4109
Mailing address
1097 SYRACUSE DR, CLAREMONT, CA 91711-2514
(626) 215-5896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
80928
CA
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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