Individual
ALEXIS VIANCA TAN TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2530 GLENDALE BLVD, LOS ANGELES, CA 90039-3220
(323) 666-1285
Mailing address
2530 GLENDALE BLVD, LOS ANGELES, CA 90039-3220
(323) 666-1285
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
85401
CA
Other
Enumeration date
11/08/2021
Last updated
12/12/2021
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