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1750865937
KEVIN TAN
BROOKLYN, NY
NPI
1750865937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: NY 064645)
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
KEVIN TAN
8014 18TH AVE
BROOKLYN, NY 11214-1706
Phone number: 718-236-2747
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Mailing Address
KEVIN TAN
9411 59TH AVE APT A9
ELMHURST, NY 11373-5101
Phone number: 856-417-6004
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