Individual
MICHELLE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1333 E PUTNAM AVE, RIVERSIDE, CT 06878-1529
(203) 637-1496
(203) 637-2571
Mailing address
1333 E PUTNAM AVE, RIVERSIDE, CT 06878-1529
(203) 637-1496
(203) 637-2571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012706
CT
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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