Individual
STANLEY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6001 W CHEYENNE AVE, LAS VEGAS, NV 89108-4205
(702) 396-0917
Mailing address
6001 W CHEYENNE AVE, LAS VEGAS, NV 89108-4205
(702) 396-0917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16990
NV
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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