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Individual

ALEXANDER C TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
460 S BROADWAY, LOS ANGELES, CA 90013-1103
(213) 572-0127
Mailing address
460 S BROADWAY, LOS ANGELES, CA 90013-1103
(213) 572-0127

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55898
CA

Other

Enumeration date
08/25/2011
Last updated
09/04/2015
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