MEDICARE: TANG PHARMACY II INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PP481760	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2082052	OTHER		PK

General Provider Information

NPI Number	:	1922297118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TANG PHARMACY II INC

Provider Business Mailing Address
First Line	:	5600 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2306
Country	:	US
Telephone Number	:	215-224-3333
Fax Number	:	215-224-3363

Provider Business Practice Location Address
First Line	:	5600 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2306
Country	:	US
Telephone Number	:	215-224-3333
Fax Number	:	215-224-3363

Authorized Official
Title or Position	:	OWNER
Name	:	DARREN TANG
Credential	:
Telephone Number	:	215-880-3996

Provider Enumeration Date	:	10/24/2007
Last Update Date	:	06/16/2016

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Directions to “TANG PHARMACY II INC ” Practice Location

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