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HA QUYEN THI ONG PHARM.D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1174995385

Individual Registrant:
 HA QUYEN THI ONG PHARM.D
Gender: F
Sole Proprietor

Location and contact information for practice:
600 N HIGHLAND SPRINGS AVE  BANNING, CA 92220-3046 US
Tel: 951-769-4888  Fax: --

Contact information for business:
1357 EARLY BLUE LN  BEAUMONT, CA 92223-2018 US
Tel: 714-467-6563  Fax: --

Registration Information:
NPI: 1174995385
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA69850

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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