TRAVIS TUAN TANG
Individual Provider (NPI-1)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1962042242- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2125 NW STEWART PKWY, ROSEBURG, OR, 974711693
- Phone
- (541) 957-8544
Specialties & Taxonomies
Pharmacy, Community/Retail Pharmacy
Primary License: OR #RPH-0017619