Individual
DR. KEVIN WAYNE TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5405 LYNX LN, COLUMBIA, MD 21044-2374
(410) 740-7273
Mailing address
112 SHADOW GLEN CT, GAITHERSBURG, MD 20878-7415
(301) 675-1150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26045
MD
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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