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Organization
TAN THAI INC
Active
Organization
TAN THAI INC
Active
Other names
OLD VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TAN THAI (PRESIDENT, OWNER, PIC, AO)
(614) 853-3498
Entity
Organization
Contact information
Practice address
978 GALLOWAY RD, GALLOWAY, OH 43119-8293
(614) 853-3498
(614) 853-4022
Mailing address
978 GALLOWAY RD, GALLOWAY, OH 43119-8293
(614) 853-3498
(614) 853-4022
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
021330450
OH
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Enumeration date
09/20/2006
Last updated
12/19/2019
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