MEDICARE: DR. VIKAS TANDON 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
1	183500000X	Pharmacist	RP440634	PA
2	183500000X	Pharmacist	S020498	AZ

General Provider Information

NPI Number	:	1508159963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIKAS TANDON PHARMD

Provider Business Mailing Address
First Line	:	5250 W INDIAN SCHOOL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85031-2605
Country	:	US
Telephone Number	:	623-845-8724
Fax Number	:	623-845-8726

Provider Business Practice Location Address
First Line	:	5250 W INDIAN SCHOOL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85031-2605
Country	:	US
Telephone Number	:	623-845-8724
Fax Number	:	623-845-8726

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2011
Last Update Date	:	08/05/2014

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Directions to “ DR. VIKAS TANDON PHARMD” Practice Location

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