Individual
KIMBERLY ANNE TANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED CPHT
Contact information
Practice address
430 BROADWAY, REVERE, MA 02151-3058
(781) 289-3607
(781) 485-0780
Mailing address
32 PLEASANT ST APT 1, WAKEFIELD, MA 01880-0032
(617) 307-8900
(781) 485-0780
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT4918
MA
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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