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NPI Code Detail

MEDICARE: ALLAN TANG PHARMD

MEDICARE: ALLAN TANG PHARMD
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
1183500000XPharmacist18985OK

General Provider Information

NPI Number : 1255934667
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLAN TANG PHARMD
Provider Business Mailing Address
First Line : 2110 S HARVARD AVE
Second Line :
City : TULSA
State : OK
Zip : 74114-1918
Country : US
Telephone Number : 918-749-5438
Fax Number :
Provider Business Practice Location Address
First Line : 2110 S HARVARD AVE
Second Line :
City : TULSA
State : OK
Zip : 74114-1918
Country : US
Telephone Number : 918-749-5438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2020
Last Update Date : 11/18/2020

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Directions to “ ALLAN TANG PHARMD” Practice Location

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