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1477677987
PETER J WONG
BEAVERTON, OR
NPI
1477677987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 8536)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Mr. PETER J WONG rph
14625 SW ALLEN BLVD
BEAVERTON, OR 97007-3600
Phone number: 503-643-2724
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Mailing Address
Mr. PETER J WONG rph
PO BOX 667
BANKS, OR 97106-0667
Phone number: 503-621-3604
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