Individual
MR. ALLEN W WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2253 STATE RD, PLYMOUTH, MA 02360-5150
(508) 833-3875
(508) 833-6581
Mailing address
1 WHITE HOLLAND DR, MARSHFIELD, MA 02050-3549
(781) 536-8183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25932
MA
1835P1200X
Pharmacotherapy Pharmacist
25932
MA
Other
Enumeration date
11/29/2006
Last updated
07/03/2009
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