Individual ProviderAnthony Michael WongPharmacistPharmacy Service ProvidersPractice Address505 Parnassus Ave, San Francisco, CA 94143-2204(415) 353-1335PECOS EnrollmentBased on the most recent information from CMS, provider Anthony Michael Wong does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1205342425Provider TypeIndividualFull NameWong, Anthony MichaelTitleDr.CredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date12/26/2017Last Updated12/26/2017Contact InformationPractice LocationPractice Address505 Parnassus Ave, San Francisco, CA 94143-2204Phone(415) 353-1335FaxUnlisted FaxMailing LocationMailing Address505 Parnassus Ave, M915, San Francisco, CA 94143-2204PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense72795California