TRAVIS TUAN TANG

ROSEBURG, OR
NPI1962042242
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: OR  RPH-0017619)
Enumeration Date2020-01-14
Last Update Date2020-01-14
Business Address
TRAVIS TUAN TANG
2125 NW STEWART PKWY
ROSEBURG, OR 97471-1693
Phone number: 541-957-8544
Mailing Address
TRAVIS TUAN TANG
1064 NE LINCOLN ST
ROSEBURG, OR 97470-2121
Phone number: 541-580-8907