Individual
NATALIE TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3499 E FAIRVIEW AVE, MERIDIAN, ID 83642-5848
(208) 605-3755
Mailing address
3499 E FAIRVIEW AVE, MERIDIAN, ID 83642-5848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P11104
ID
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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