Individual
CHARLES CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
176 E 161ST ST, BRONX, NY 10451-3508
(718) 292-3801
Mailing address
176 E 161ST ST, BRONX, NY 10451-3508
(718) 292-3801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
050411
NY
Other
Enumeration date
12/11/2006
Last updated
03/18/2008
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