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NPI Code Detail

MEDICARE: DR. CONNIE ANN PINEDA TAN PHARMD

MEDICARE: DR. CONNIE ANN PINEDA TAN 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
1183500000XPharmacistA1-0003501DE

General Provider Information

NPI Number : 1932480209
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CONNIE ANN PINEDA TAN PHARMD
Provider Business Mailing Address
First Line : 1508 PHILADELPHIA PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-1826
Country : US
Telephone Number : 302-246-1111
Fax Number :
Provider Business Practice Location Address
First Line : 1508 PHILADELPHIA PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-1826
Country : US
Telephone Number : 302-246-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2011
Last Update Date : 08/31/2011

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