MEDICARE: MRS. NATALIE HUY TANG RPH

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	RP044965L	PA

General Provider Information

NPI Number	:	1760750384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATALIE HUY TANG RPH

Provider Business Mailing Address
First Line	:	PO BOX 1872
Second Line	:
City	:	MEDIA
State	:	PA
Zip	:	19063-8872
Country	:	US
Telephone Number	:	215-467-6050
Fax Number	:

Provider Business Practice Location Address
First Line	:	2655 S 10TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-4403
Country	:	US
Telephone Number	:	215-467-6050
Fax Number	:	215-467-3573

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

Provider Enumeration Date	:	12/09/2011
Last Update Date	:	01/18/2023

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