Provider / Organization | NPI | Date Certified |
---|---|---|
DEXTER A WONG | 1417563990 | 2020-09-19 |
Dexter A Wong is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1417563990. Registration indicates Dexter A Wong is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Dexter A Wong RPH |
Practice Office Address | 1131 KUALA ST PEARL CITY, HI US |
Practice Office Telephone | 8084548792 |
Mailing Address | 1131 KUALA ST PEARL CITY, HI 967822886 US |
Business Telephone | 8084548792 |
Business Fax | 8084548794 |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 1183
HI |