GRACE M TAN

CHICAGO, IL
NPI1558642041
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051290158)
Enumeration Date2011-08-29
Last Update Date2011-08-29
Business Address
-- GRACE M TAN PharmD
5935 W ADDISON ST
CHICAGO, IL 60634-4214
Phone number: 773-282-1594
Mailing Address
-- GRACE M TAN PharmD
5335 W PENSACOLA AVE
CHICAGO, IL 60641-1309
Phone number: