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Harry Pong

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

NPI number1679856496
StatusActive
Last updated in NPPESFeb 12, 2020

Details

NPI
1679856496
Entity type
Individual (NPI-1)
Name
Mr. Harry Pong
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 28, 2011
Certification date
Feb 12, 2020
Last updated
Feb 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPH00016307WAYes
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialistph00016307WA

Practice location

10000 Mickelberry Rd Nw
Silverdale, WA 98383-8302

Phone 360-308-2116 · Fax 360-308-2125

Mailing address

10000 Mickelberry Rd Nw
Silverdale, WA 98383-8302

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