Individual
DR. JACKIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3333 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-5619
(757) 631-2415
(757) 631-2428
Mailing address
3333 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-5619
(757) 631-2415
(757) 631-2428
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217996
VA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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