Ma Theresa Tanchanco

NPI #1114455151 in Seattle, Washington

Provider Information

NPI Number: 1114455151
Entity Type: Individual
Name: Ma Theresa Tanchanco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 2, 2017
Last Updated: Sep 10, 2018

Practice Location

Address: 4025 DELRIDGE WAY SW
City: Seattle
State: Washington
ZIP Code: 98106-1249
Phone: (971) 801-2050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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