BASIL WONG

PHOENIX, AZ
NPI1376892901
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S019271)
Enumeration Date2012-08-29
Last Update Date2012-08-29
Business Address
-- BASIL WONG
744 W CAMELBACK RD
PHOENIX, AZ 85013-2207
Phone number: 602-279-9337
Mailing Address
-- BASIL WONG
1126 W STELLA LN
PHOENIX, AZ 85013-1393
Phone number:
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