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Henry Bun Lok Fong, Pharm.D

Pharmacist in Puyallup, WA. Individual provider (NPI-1).

NPI number1285929331
StatusActive
Last updated in NPPESJun 16, 2011

Details

NPI
1285929331
Entity type
Individual (NPI-1)
Name
Mr. Henry Bun Lok Fong
Credential
Pharm.D
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2011
Last updated
Jun 16, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPH60162018WAYes

Practice location

10302 156th St E
Puyallup, WA 98374-9321

Phone 253-604-1067 · Fax 253-604-1077

Mailing address

10302 156th St E
Puyallup, WA 98374-9321

Phone 253-604-1067 · Fax 253-604-1077

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