Individual
BARRY FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2880 SHADELANDS DR, WALNUT CREEK, CA 94598-2522
(925) 979-6847
Mailing address
2880 SHADELANDS DR, WALNUT CREEK, CA 94598-2522
(925) 979-6847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46384
CA
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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