Amy Wong | Travis Afb, CA • PECOS Search

Amy Wong

Pharmacist

Pharmacy Service Providers

101 Bodin Cir, Travis Afb, CA 94535-1809

PECOS Enrollment

Based on the most recent information from CMS, provider Amy Wong does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:10 AM.

Profile Details

Provider ID
1598903197
Provider Type
Individual
Full Name
Wong, Amy
Title
Dr.
Credential
PHARM.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/4/2009
Last Updated
3/11/2013

Contact Information

Practice Location

101 Bodin Cir, Travis Afb, CA 94535-1809

Unlisted Fax

Mailing Location

101 Bodin Cir, Travis Afb, CA 94535-1809

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 58799 California