Provider Demographics
NPI:1093829988
Name:TANG PHARMACY INC
Entity Type:Organization
Organization Name:TANG PHARMACY INC
Other - Org Name:TANG PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MGR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-224-1500
Mailing Address - Street 1:5925 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-1823
Mailing Address - Country:US
Mailing Address - Phone:215-224-1500
Mailing Address - Fax:215-224-6500
Practice Address - Street 1:5925 N 5TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-1823
Practice Address - Country:US
Practice Address - Phone:215-224-1500
Practice Address - Fax:215-224-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4816083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2087834OtherPK
2087834OtherPK