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General NPI Number Information
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NPI Number | 1922297118
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Entity Type | Organization
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Legal Business Name | TANG PHARMACY II INC
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 5600 N 5TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19120-2306
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Country | US
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Telephone | 215-224-3333
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Fax | 215-224-3363
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Provider Business Mailing Address
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Address Line | 5600 N 5TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19120-2306
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Country | US
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Telephone | 215-224-3333
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Fax | 215-224-3363
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Authorized Official
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Title or Position | OWNER
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Name | DARREN TANG
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Credential |
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Telephone | 215-880-3996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP481760
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License Number State | PA
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