| NPI | 1356952618 |
|---|---|
| Doing Business As | TAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TAN VAN NGUYEN President/CEO/CFO/Director 408-680-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2021-02-12 |