Provider Demographics
NPI:1275255515
Name:TAMBON, NATALIE ROSE (RPH)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:ROSE
Last Name:TAMBON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 SENECA AVE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19074-1119
Mailing Address - Country:US
Mailing Address - Phone:610-329-4545
Mailing Address - Fax:
Practice Address - Street 1:539 N OAK AVE
Practice Address - Street 2:
Practice Address - City:ALDAN
Practice Address - State:PA
Practice Address - Zip Code:19018-3032
Practice Address - Country:US
Practice Address - Phone:610-623-5343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457096183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist