Individual
CARRIE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(084) 530-2805
Mailing address
710 LAWRENCE EXPY DEPT 362, SANTA CLARA, CA 95051-5173
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73248
CA
Other
Enumeration date
05/27/2016
Last updated
12/20/2021
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