Individual
CARRIE TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
475 MAIN ST APT 14Q, NEW YORK, NY 10044-0094
(626) 905-0918
Mailing address
475 MAIN ST APT 14Q, NEW YORK, NY 10044-0094
(626) 905-0918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051300851
IL
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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