IVAN WONG

RENTON, WA
NPI1043527146
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WA  ph00063119)
Enumeration Date2010-09-10
Last Update Date2010-09-16
Business Address
-- IVAN WONG Pharm.D.
17615 140TH AVE SE
RENTON, WA 98058
Phone number: 425-204-1585
Mailing Address
-- IVAN WONG Pharm.D.
17615 140TH AVE SE
RENTON, WA 98058-6828
Phone number: 425-204-1585
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