Individual
DR. DEREK NORMAN FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2155 IRON POINT RD, FOLSOM, CA 95630-8707
(916) 817-5346
Mailing address
1062 SMITH WAY, FOLSOM, CA 95630-7338
(916) 208-1737
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
74891
CA
Other
Enumeration date
09/08/2016
Last updated
12/17/2021
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