NPI 1023392008

Timothy Wong, PHARMD

Practitioner Pharmacist Vista, CA

Practice location

Address: 802 S Santa Fe Ave, Vista, CA 92084
Phone: (760) 724-3116

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 59105 (CA)

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Registry record

NPI: 1023392008
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2011
Record last updated: 7 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.