Individual
RYAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6395 AIRPORT BLVD STE A, MOBILE, AL 36608-3131
(251) 414-0797
Mailing address
6395 AIRPORT BLVD STE A, MOBILE, AL 36608-3131
(251) 414-0797
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20693
AL
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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