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Individual

ROSANNA TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1647 CROFTON CENTRE, CROFTON, MD 21114
(410) 721-4721
(410) 721-0985
Mailing address
PO BOX 4313, CROFTON, MD 21114-4313
(410) 721-4721
(410) 721-0985

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17160
MD

Other

Enumeration date
03/18/2010
Last updated
03/18/2010
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