Travis Tuan Tang

NPI #1962042242 in Roseburg, Oregon

Provider Information

NPI Number
1962042242
Entity Type
Individual
Name
Travis Tuan Tang
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 14, 2020
Last Updated
Jan 14, 2020

Practice Location

Address
2125 NW STEWART PKWY
State
Oregon
ZIP Code
97471-1693
Phone
(541) 957-8544

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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