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Vivian Wing-wan Wong
Clinic Pharmacy in Colton, California
NPI 1205457157

Vivian Wing-wan Wong is a Clinic Pharmacy based in Loma Linda, CA and is specialized in Clinic Pharmacy. Vivian Wing-wan Wong practices in Colton, CA. The NPI Number for Vivian Wing-wan Wong is 1205457157 and holds a License No. 81333 (California).

The current practice location address for Vivian Wing-wan Wong is 400 N Pepper Ave, Colton, CA and can be reached out via phone at 704-964-5729. You can also correspond with Vivian Wing-wan Wong through the mailing address at 25654 HURON ST, LOMA LINDA, CA - 92354-3703 (mailing address contact number: 704-964-5729).

Location: 400 N Pepper Ave, Colton, CA, 92354-3703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205457157
Provider Name
Vivian Wing-wan Wong
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 N Pepper Ave, Colton, CA, 92354-3703
Phone Number
704-964-5729
Fax Number
Provider Enumeration Date
05/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
704-964-5729
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
704-964-5729
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
81333 (California)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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