Most Relevant Information
Provider Data
| NPI Number: | 1003184227 |
| Provider Name: | CLEMENT TAIYIN WONG |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 46596 |
Most Important Dates
| Enumeration Date: | 12/01/2011 |
| Last Updated: | 12/01/2011 |
Provider Practice Location
200 N WINCHESTER BLVD
SANTA CLARA
CA
950506501
Practice Location Phone/Fax
| Phone: | 4082471894 |
| Fax: |
Provider Mailing Location
200 N WINCHESTER BLVD
SANTA CLARA
CA
950506501
Provider Mailing Phone/Fax
| Phone: | 4082471894 |
| Fax: |