Individual
AMY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3770 BELT LINE RD, ADDISON, TX 75001-4301
(972) 620-0349
(972) 620-1684
Mailing address
3770 BELT LINE RD, ADDISON, TX 75001-4301
(972) 620-0349
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
55412
TX
Other
Enumeration date
10/17/2020
Last updated
10/18/2020
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