MEDICARE: DR. SING RICO WONG PHARM. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	10443	NV

General Provider Information

NPI Number	:	1780285668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SING RICO WONG PHARM. D.

Provider Business Mailing Address
First Line	:	1101 SANGUINETTI RD
Second Line	:
City	:	SONORA
State	:	CA
Zip	:	95370-6214
Country	:	US
Telephone Number	:	209-533-8273
Fax Number	:	209-533-0299

Provider Business Practice Location Address
First Line	:	601 S HIGHWAY 160
Second Line	:
City	:	PAHRUMP
State	:	NV
Zip	:	89048
Country	:	US
Telephone Number	:	775-727-2404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2020
Last Update Date	:	05/18/2026

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