Isabelle Beatrice Wong, PharmD
Pharmacist in Palo Alto, CA. Individual provider (NPI-1).
NPI number1164030573
StatusActive
Last updated in NPPESOct 16, 2021
Details
- NPI
- 1164030573
- Entity type
- Individual (NPI-1)
- Name
- Isabelle Beatrice Wong
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2020
- Certification date
- Oct 16, 2021
- Last updated
- Oct 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 85314 | CA | Yes |
| 183500000X | Pharmacist | P8902 | ID |
Practice location
3801 Miranda AvePalo Alto, CA 94304-1207
Phone 650-493-5000
Mailing address
18964 Tilson AveCupertino, CA 95014-3655
Phone 408-318-7815
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