Individual provider · Type 1 NPI

Susan Wong, PharmD

Pharmacist · Santa Rosa, CA

NPI number 1053485532 Active

Practice location

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Mailing address

2128 Willow Dr
Petaluma, CA 94954-3833

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X40766 (CA)

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 1053485532

Susan Wong, PharmD's National Provider Identifier is 1053485532, issued on Nov 17, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.