Individual
MR. SUBHASH C TANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., RPH
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PHARMACY SERVICE (P5PHAR), PORTLAND, OR 97239-2964
(503) 721-1431
(503) 721-1481
Mailing address
1716 NW MILL POND RD, PORTLAND, OR 97229-7549
(503) 297-4737
(503) 297-4737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14732
NC
Other
Enumeration date
06/11/2006
Last updated
07/21/2022
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