Organization
TANG PHARMACY IV INC
Active
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
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