Provider Demographics
NPI:1356341515
Name:DONG, BETTY JEAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BETTY
Middle Name:JEAN
Last Name:DONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIV OF CALIFORNIA SCHOOL OF PHARMACY
Mailing Address - Street 2:521 PARNASSUS AVE RM C 152
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0622
Mailing Address - Country:US
Mailing Address - Phone:415-476-1972
Mailing Address - Fax:415-476-6632
Practice Address - Street 1:UNIV OF CALIFORNIA SCHOOL OF PHARMACY
Practice Address - Street 2:521 PARNASSUS AVE RM C 152
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0622
Practice Address - Country:US
Practice Address - Phone:415-476-1972
Practice Address - Fax:415-476-6632
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH27874183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist