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Individual

MR. HARRY PONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10000 MICKELBERRY RD NW, SILVERDALE, WA 98383-8302
(360) 308-2116
(360) 308-2125
Mailing address
10000 MICKELBERRY RD NW, SILVERDALE, WA 98383-8302

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00016307
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH00016307
WA

Other

Enumeration date
09/28/2011
Last updated
02/12/2020
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