Ivan Wong, PHARM.D.

NPI #1043527146 in Renton, Washington

Provider Information

NPI Number: 1043527146
Entity Type: Individual
Name: Ivan Wong, PHARM.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Sep 10, 2010
Last Updated: Sep 16, 2010

Practice Location

Address: 17615 140TH AVE SE
City: Renton
State: Washington
ZIP Code: 98058
Phone: (425) 204-1585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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