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Elton Y. Wong
Pharmacy in Oakland, California
NPI 1649263302

Elton Y. Wong is a Pharmacy based in Oakland, CA. Elton Y. Wong practices in Oakland, CA. The NPI Number for Elton Y. Wong is 1649263302 and holds a License No. PHY38028 (California).

The current practice location address for Elton Y. Wong is 719 E 12Th St, Oakland, CA and can be reached out via phone at 510-839-8839 and via fax at 510-839-8696.

Location: 719 E 12Th St, Oakland, CA, 94606-3624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649263302
Provider Name
Elton Y. Wong
Credential
Provider Entity Type
Organization
Address
719 E 12Th St, Oakland, CA, 94606-3624
Phone Number
510-839-8839
Fax Number
510-839-8696
Provider Enumeration Date
08/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0579447 01 NCPDP
PHA380280 05 CA
institution
Provider Business Practice Location Address Details
Address
719 E 12Th St
City
Oakland
State
California
Zip
94606-3624
Phone Number
510-839-8839
Fax Number
510-839-8696
person
Provider Business Mailing Address Details
Address
719 E 12Th St
City
Oakland
State
California
Zip
94606-3624
Phone Number
510-839-8839
Fax Number
510-839-8696
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY38028 (California)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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