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Individual

HOANG ANH TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
143 CAYMEN CT, AUGUSTA, GA 30907-1423
(404) 518-8918
Mailing address
143 CAYMEN CT, AUGUSTA, GA 30907-1423
(404) 518-8918

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
034750
GA
183500000X
Pharmacist
Primary
RPH034750
GA

Other

Enumeration date
05/09/2024
Last updated
05/09/2024
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