Provider Demographics
NPI:1891083796
Name:DO, TAM ANH (PHARMD)
Entity Type:Individual
Prefix:
First Name:TAM
Middle Name:ANH
Last Name:DO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 SADDLE BROOK DR
Mailing Address - Street 2:#334
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95136-4201
Mailing Address - Country:US
Mailing Address - Phone:408-608-8849
Mailing Address - Fax:
Practice Address - Street 1:1811 HILLSDALE AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-3027
Practice Address - Country:US
Practice Address - Phone:408-265-3253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60648183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist