Individual
RANDY TAMMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD CDE
Contact information
Practice address
7601 CASTOR AVE, LOBBY LEVEL SUITE 100, PHILA, PA 19152-4026
(215) 880-8536
(215) 722-8091
Mailing address
38 ANDREW RD, HUNTINGDON VALLEY, PA 19006-7902
(215) 880-8536
(215) 722-8091
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
RP039233L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001-0518
CERTIFIED DIABETES EDUCATOR
—
01
—
28RI02370800
NEW JERSEY STATE BOARD OF PHARMACY
NJ
01
—
PS 44978
FLORIDA STATE BOARD OF PHARMACY
FL
01
—
RP039233L
PENNSYLVANIA STATE BOARD OF PHARMACY
PA
Enumeration date
05/05/2010
Last updated
05/05/2010
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