Individual
CONNIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1297 S MAYFAIR AVE, DALY CITY, CA 94015-3655
(415) 793-5570
Mailing address
1297 S MAYFAIR AVE, DALY CITY, CA 94015-3655
(415) 793-5570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
64150
CA
1835P1200X
Pharmacotherapy Pharmacist
Primary
64150
CA
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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