Individual
BRIAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
981 S MERIDIAN AVE, ALHAMBRA, CA 91803-1250
(626) 570-8052
(626) 551-3171
Mailing address
981 S MERIDIAN AVE, ALHAMBRA, CA 91803-1250
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
50463
CA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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