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Individual

CALEB TANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4727 DENVER AVE S, SEATTLE, WA 98134-2316
(206) 763-2626
Mailing address
4727 DENVER AVE S, SEATTLE, WA 98134-2316

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60273652
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH60273652
PHARMACIST LICENSE
WA
Enumeration date
07/17/2012
Last updated
07/17/2012
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