Individual
DR. BIAU WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
HWY 264 MILE POST 388, POLACCA, AZ 86042-4000
(928) 737-6000
Mailing address
PO BOX 4000, POLACCA, AZ 86042-4000
(928) 737-6000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
22900
NC
1835P2201X
Ambulatory Care Pharmacist
Primary
22900
NC
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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