IndividualActive
A Wong
NPI 1396149159 · Pharmacist · Rocklin, CA
Provider details
- NPI number
- 1396149159
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RPH 30559 (CA)
Mailing address
5322 Thunder Ridge Cir
Rocklin, CA 95765-4841
Registry dates
- Enumerated
- 2014-10-22
- Last updated
- 2014-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.