Gordon C Wong in Clovis - Pharmacist

Gordon C Wong - NPI 1063596211

Gordon C Wong is a Pharmacist in Clovis, California. Gordon C Wong practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Gordon C Wong is 1063596211. The last update date is 2007-07-08.

Gordon C Wong's current location address is 155 Heritage Ave, Clovis, California. You can contact this provider via phone number 5593248639. The mailing address for Gordon C Wong is 155 Heritage Ave, Clovis, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon C Wong
Address 155 Heritage Ave, Clovis, California
Phone Number 5593248639
Fax Number
Sole Proprietor N
Credentials PHARM. D

NPI Number Detail

NPI Number 1063596211
Provider Enumeration Date 2006-10-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 155 Heritage Ave
City Clovis
State California (CA)
Post Code 936197612
Phone Number 5593248639
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 49878
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

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FAQs about Gordon C Wong

What is the unique 10-digit identification code assigned to Gordon C Wong by the Centers for Medicare & Medicaid Services?

The Gordon C Wong has been issued the NPI (National Provider Identifier) 1063596211, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Gordon C Wong's facilities are situated?

The facilities of Gordon C Wong are physically located at the following address: 155 Heritage Ave, Clovis, CA, 936197612.

What is Gordon C Wong's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gordon C Wong is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.

On what date did Gordon C Wong receive its 1063596211 assignment from the Centers for Medicare & Medicaid Services?

The Gordon C Wong was assigned its 1063596211 on 2006-10-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Gordon C Wong last refreshed?

The information related to the Gordon C Wong, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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