Individual
ELAINE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 323-3435
Mailing address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025463
AZ
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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