| NPI | 1386169902 |
|---|---|
| Other Name | CARLY HONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60570288) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0013336) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-07-21 |