Individual ProviderBetty Jean DongPharmacistPharmacy Service ProvidersPractice AddressUniv Of California School Of Pharmacy, 521 Parnassus Ave Rm C 152, San Francisco, CA 94143-0622(415) 476-1972PECOS EnrollmentBased on the most recent information from CMS, provider Betty Jean Dong 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 ID1356341515Provider TypeIndividualFull NameDong, Betty JeanTitleDr.CredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date7/28/2005Last Updated7/8/2007Contact InformationPractice LocationPractice AddressUniv Of California School Of Pharmacy, 521 Parnassus Ave Rm C 152, San Francisco, CA 94143-0622Phone(415) 476-1972Fax(415) 476-6632Mailing LocationMailing AddressUniv Of California School Of Pharmacy, 521 Parnassus Ave Rm C 152, San Francisco, CA 94143-0622Phone(415) 476-1972Fax(415) 476-6632Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRPH27874California