Individual provider · Type 1 NPI

Jennie Wong, PHARM D

Pharmacist · Fort Defiance, AZ

NPI number 1033411665 Active

Practice location

NW Corner Of Navajo Rt. 12 & Rt. 7
Fort Defiance, AZ 86504-0649

Fax (928) 729-8348

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X19224 (MD)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1033411665

Jennie Wong, PHARM D's National Provider Identifier is 1033411665, issued on Dec 2, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Defiance, AZ. The record was last updated on Dec 2, 2010.