Yingjie Tan

NPI #1104497676 in Port St John, Florida

Provider Information

NPI Number: 1104497676
Entity Type: Individual
Name: Yingjie Tan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 7, 2021
Last Updated: Jul 7, 2021

Practice Location

Address: 6257 N US HIGHWAY 1
City: Port St John
State: Florida
ZIP Code: 32927-4925
Phone: (321) 633-8150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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