Individual
BENNY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3667 CASTRO VALLEY BLVD, CASTRO VALLEY, CA 94546-4403
(510) 538-1227
(510) 538-3935
Mailing address
3667 CASTRO VALLEY BLVD, CASTRO VALLEY, CA 94546-4403
(510) 538-1227
(510) 538-3935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62589
CA
Other
Enumeration date
05/07/2019
Last updated
10/10/2020
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