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NPI Code Detail

MEDICARE: THOAI NHAN PHAM TANG

MEDICARE:   THOAI NHAN PHAM TANG
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
1183500000XPharmacistPS46258FL

General Provider Information

NPI Number : 1003154576
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOAI NHAN PHAM TANG
Provider Business Mailing Address
First Line : 3102 W GANDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33611-2928
Country : US
Telephone Number : 813-902-1833
Fax Number :
Provider Business Practice Location Address
First Line : 3102 W GANDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33611-2928
Country : US
Telephone Number : 813-902-1833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2013
Last Update Date : 08/11/2025

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Directions to “ THOAI NHAN PHAM TANG ” Practice Location

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