Individual
AUNG AUNG TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
193 MARYLAND AVE, STATEN ISLAND, NY 10305-3019
(646) 359-2533
Mailing address
193 MARYLAND AVE, STATEN ISLAND, NY 10305-3019
(646) 359-2533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
02452000
NJ
183500000X
Pharmacist
048326
NY
183500000X
Pharmacist
444486
PA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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