Provider Demographics
NPI:1750628459
Name:TSANG, FOR (RPH)
Entity Type:Individual
Prefix:MR
First Name:FOR
Middle Name:
Last Name:TSANG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 RADIO RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-6706
Mailing Address - Country:US
Mailing Address - Phone:239-455-5526
Mailing Address - Fax:239-455-2113
Practice Address - Street 1:7101 RADIO RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-6706
Practice Address - Country:US
Practice Address - Phone:239-455-5526
Practice Address - Fax:239-455-2113
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS00307183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS0030712OtherSTATE BOARD OF PHARMACY