Organization
TANG PHARMACY IV INC
Active
Other names
Tang Pharmacy IV
Organization subpart
No
Provider details
NPI number
Authorized official
XUANKHOA NGUYEN RPH (PHARMACIST)
(215) 235-1400
Entity
Organization
Contact information
Practice address
900 N BROAD ST, PHILADELPHIA, PA 19130-1604
(215) 235-1400
(215) 235-1445
Mailing address
900 N BROAD ST, PHILADELPHIA, PA 19130-1604
(215) 235-1400
(215) 235-1445
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482179
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102652502001
—
PA
01
—
2132479
PK
—
Enumeration date
10/25/2011
Last updated
02/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us