DR. Kelly Wong, PHARM D

NPI #1992176259 in Colton, California

Provider Information

NPI Number: 1992176259
Entity Type: Individual
Name: DR. Kelly Wong, PHARM D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Oct 13, 2015
Last Updated: Oct 13, 2015

Practice Location

Address: 1120 S NT VERNON AVE
City: Colton
State: California
ZIP Code: 92324
Phone: (909) 783-0390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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