Provider Demographics
NPI:1760750384
Name:TANG, NATALIE HUY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:HUY
Last Name:TANG
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:PO BOX 1872
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-8872
Mailing Address - Country:US
Mailing Address - Phone:215-467-6050
Mailing Address - Fax:
Practice Address - Street 1:2655 S 10TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-4403
Practice Address - Country:US
Practice Address - Phone:215-467-6050
Practice Address - Fax:215-467-3573
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044965L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist