Healthcare Provider Details

I. General information

NPI: 1659325512
Provider Name (Legal Business Name): JULIE MEE JUN WONG MCCUTCHEON PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS JULIE MEE JUN WONG

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 04/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9912 LITTLE RD DEPARTMENT OF PHARMACY (119)
NEW PORT RICHEY FL
34654-3419
US

IV. Provider business mailing address

9912 LITTLE RD DEPARTMENT OF PHARMACY (119)
NEW PORT RICHEY FL
34654-3419
US

V. Phone/Fax

Practice location:
  • Phone: 727-869-4100
  • Fax:
Mailing address:
  • Phone: 727-869-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS34388
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS 34388
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: