Virginia Grace Lew Tan

NPI #1275048720 in Farmersville, California

Provider Information

NPI Number: 1275048720
Entity Type: Individual
Name: Virginia Grace Lew Tan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 6, 2017
Last Updated: Dec 6, 2017

Practice Location

Address: 1710 N FARMERSVILLE BLVD
City: Farmersville
State: California
ZIP Code: 93223-2306
Phone: (559) 747-3317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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