Individual
AMY PHUONGQUE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1890 XIMENO AVE, LONG BEACH, CA 90815-2849
(562) 597-6520
(562) 597-2034
Mailing address
2832 SAWGRASS DR, SANTA ANA, CA 92706-1145
(714) 568-1196
(562) 597-2034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
49594
CA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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