Rudolf Dickeinstein Tanga, RPH

NPI #1124315973 in Medford, Oregon

Provider Information

NPI Number: 1124315973
Entity Type: Individual
Name: Rudolf Dickeinstein Tanga, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 30, 2011
Last Updated: Jun 30, 2011

Practice Location

Address: 2000 CRATER LAKE HWY
Address 2: T0613
City: Medford
State: Oregon
ZIP Code: 97504-4161
Phone: (541) 779-5110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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