Individual
ANDREW TADANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
17051 BEAR VALLEY RD, HESPERIA, CA 92345-1845
(760) 948-7901
Mailing address
20376 E CRESTLINE DR, WALNUT, CA 91789-4609
(909) 569-9771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
83494
CA
Other
Enumeration date
11/07/2020
Last updated
11/12/2020
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