Ivan Wong, PHARMD in Renton, WA - Pharmacist

Ivan Wong, PHARMD is a Pharmacist based in Renton, Washington. Ivan Wong is licensed to practice in Washington (license number PH00063119) and his current practice location is 17615 140th Ave Se, Renton, Washington. He can be reached at his office (for appointments etc.) via phone at (425) 204-1585.

NPI number for Ivan Wong is 1043527146 and his current mailing address is 17615 140th Ave Se, Renton, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043527146.

Contact Information

	Ivan Wong, PHARMD
	17615 140th Ave Se, Renton, WA 98058
	(425) 204-1585
	(425) 204-0743

Healthcare Provider's Profile

Full Name	Ivan Wong
Gender	Male
Speciality	Pharmacist
Location	17615 140th Ave Se, Renton, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1043527146
Provider Enumeration Date: 09/10/2010
Last Update Date: 09/16/2010

Medical Identifiers

Medical identifiers for Ivan Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043527146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	PH00063119 (Washington)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Wong is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ivan Wong, PHARMD 17615 140th Ave Se, Renton, WA 98058-6828 Ph: (425) 204-1585	Ivan Wong, PHARMD 17615 140th Ave Se, Renton, WA 98058 Ph: (425) 204-1585

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Ivan Wong, PHARMD - Pharmacist in Renton, WA