Individual
ELAINE STEPHANIE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-1111
Mailing address
616 NEW PARK AVE APT 202, WEST HARTFORD, CT 06110-1344
(702) 882-7506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
77428
CA
183500000X
Pharmacist
Primary
PCT.0015437
CT
Other
Enumeration date
02/08/2018
Last updated
01/18/2022
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