Individual
MAGGIE TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
731 POLE LINE RD, TWIN FALLS, ID 83301-3036
(208) 736-1725
Mailing address
731 POLE LINE RD, TWIN FALLS, ID 83301-3036
(208) 736-1725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7527
ID
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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