Individual
DR. STEPHEN JAY TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCCCP
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4147
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
PS43790
FL
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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