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Individual

DOUGLAS TAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2001 W 68TH ST, HIALEAH, FL 33016-1801
(305) 823-5000
Mailing address
2042 MADEIRA DR, WESTON, FL 33327-1916
(321) 848-1863

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS59354
FL

Other

Enumeration date
05/31/2020
Last updated
05/31/2020
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