Most Relevant Information
Provider Data
| NPI Number: | 1003559972 |
| Provider Name: | KEVIN LUONG |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 85939 |
Most Important Dates
| Enumeration Date: | 04/18/2022 |
| Last Updated: | 04/18/2022 |
Provider Practice Location
4120 N HARTLEY AVE
COVINA
CA
917223917
Practice Location Phone/Fax
| Phone: | 6264822535 |
| Fax: |
Provider Mailing Location
4120 N HARTLEY AVE
COVINA
CA
917223917
Provider Mailing Phone/Fax
| Phone: | 6264822535 |
| Fax: |