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NPI Code Detail

MEDICARE: TARYN T LA PHARM. D

MEDICARE:   TARYN T LA  PHARM. D
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
1183500000XPharmacist48852CA

General Provider Information

NPI Number : 1124396866
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARYN T LA PHARM. D
Provider Business Mailing Address
First Line : 1733 N MARINE DR
Second Line :
City : VILLA PARK
State : CA
Zip : 92867-4064
Country : US
Telephone Number : 714-974-7086
Fax Number :
Provider Business Practice Location Address
First Line : 12002 HARBOR BLVD
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92840-4002
Country : US
Telephone Number : 714-663-2850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2011
Last Update Date : 12/08/2011

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Directions to “ TARYN T LA PHARM. D” Practice Location

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