Individual
MS. SHELLEY M WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 244-7252
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1816
(808) 244-7252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2201
HI
Other
Enumeration date
09/15/2011
Last updated
10/04/2013
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