NPI 1063169266

Wilson Kwok Tang

Practitioner Pharmacist Rancho Cordova, CA

Practice location

Address: 2111 Golden Centre Ln, Rancho Cordova, CA 95670-4477
Phone: (916) 858-1948
Mailing address: 511 Ashwick Loop, Sacramento, CA 95823-6818

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH85920 (CA)

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Registry record

NPI: 1063169266
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Mar 2022
Record last updated: 8 Mar 2022

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.