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NPI Code Detail

MEDICARE: DR. ANTHONY KAMSENG WONG PHARMD

MEDICARE: DR. ANTHONY KAMSENG WONG PHARMD
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
1183500000XPharmacist57003CA

General Provider Information

NPI Number : 1225315088
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY KAMSENG WONG PHARMD
Provider Business Mailing Address
First Line : 6280 JOSIE ST
Second Line :
City : ATWATER
State : CA
Zip : 95301-9106
Country : US
Telephone Number : 209-676-9658
Fax Number :
Provider Business Practice Location Address
First Line : 1591 GEER RD
Second Line :
City : TURLOCK
State : CA
Zip : 95380-3200
Country : US
Telephone Number : 209-696-6648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2011
Last Update Date : 11/08/2011

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