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NPI Code Detail

MEDICARE: THUY K TONG

MEDICARE: THUY K TONG
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
1183500000XPharmacist59528CA

General Provider Information

NPI Number : 1780219949
Entity Type Code : Individual
Provider Name (Legal Business Name) : THUY K TONG
Provider Business Mailing Address
First Line : 23444 MOUNTAIN BREEZE DR
Second Line :
City : MURRIETA
State : CA
Zip : 92562-5033
Country : US
Telephone Number : 951-331-3888
Fax Number :
Provider Business Practice Location Address
First Line : 31700 GRAPE ST
Second Line :
City : LAKE ELSINORE
State : CA
Zip : 92532-9785
Country : US
Telephone Number : 951-245-4329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2020
Last Update Date : 03/09/2020

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Directions to “ THUY K TONG ” Practice Location

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