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NPI Code Detail

MEDICARE: ANNE WONG

MEDICARE: ANNE WONG
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
1183500000XPharmacistPH00043096WA

General Provider Information

NPI Number : 1780799122
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE WONG
Provider Business Mailing Address
First Line : 1100 OLIVE WAY # MS /M4-PA
Second Line :
City : SEATTLE
State : WA
Zip : 98101-1873
Country : US
Telephone Number : 206-515-5811
Fax Number :
Provider Business Practice Location Address
First Line : 100 NE GILMAN BLVD
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2925
Country : US
Telephone Number : 425-557-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 07/08/2007

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Directions to “ ANNE WONG ” Practice Location

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