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Whitney Wong

Pharmacist in Lake Charles, LA. Individual provider (NPI-1).

NPI number1083174437
StatusActive
Last updated in NPPESNov 2, 2023

Details

NPI
1083174437
Entity type
Individual (NPI-1)
Name
Whitney Wong
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 21, 2019
Certification date
Nov 2, 2023
Last updated
Nov 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPST.022874LAYes
183500000X Pharmacist66140TX

Practice location

4200 Nelson Rd
Lake Charles, LA 70605-4118

Phone 337-475-4144

Mailing address

1629 Reserve Dr
Westlake, LA 70669-6619

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