NPI 1235461401

Lawrence K Wong, PHARMD

Practitioner Pharmacist Miller Place, NY

Practice location

Address: 159 Route 25a, Miller Place, NY 11764-2428
Phone: (631) 331-2318

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 053807 (NY)

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Registry record

NPI: 1235461401
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Feb 2010
Record last updated: 12 Feb 2010

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.