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Individual

XING TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(856) 383-3830
(856) 383-3830
Mailing address
5340 DELMAR BLVD APT 203, SAINT LOUIS, MO 63112-3130
(856) 383-3830

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28RI03837900
NJ

Other

Enumeration date
07/18/2017
Last updated
07/18/2017
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