Individual
XIANGYU TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6350 N MACARTHUR BLVD, WARR ACRES, OK 73122-7213
(405) 728-8396
Mailing address
6350 N MACARTHUR BLVD, WARR ACRES, OK 73122-7213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16236
OK
Other
Enumeration date
08/16/2015
Last updated
08/16/2015
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