Individual
ANTHONY CHRISTIAN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3801 PELANDALE AVE, MODESTO, CA 95356-8300
(209) 566-5214
Mailing address
7101 SPY GLASS DR, MODESTO, CA 95356-9699
(209) 566-5214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
86065
CA
Other
Enumeration date
04/19/2022
Last updated
12/31/2024
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