Gary Fong | San Francisco, CA • PECOS Search

Gary Fong

Pharmacist

Pharmacy Service Providers

521 Parnassus Ave, C-152, San Francisco, CA 94143-2206

PECOS Enrollment

Based on the most recent information from CMS, provider Gary Fong 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 2 days ago.

Profile Details

Provider ID
1750790309
Provider Type
Individual
Full Name
Fong, Gary
Gender
Male

Sole Proprietor
Yes
Enumeration Date
8/7/2014
Last Updated
8/7/2014

Contact Information

Practice Location

521 Parnassus Ave, C-152, San Francisco, CA 94143-2206

Unlisted Fax

Mailing Location

521 Parnassus Ave, C-152, San Francisco, CA 94143-2206

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 70740 California