Most Relevant Information
Provider Data
| NPI Number: | 1003301060 |
| Provider Name: | LYLA TAN PHARMD, RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 064105 |
Most Important Dates
| Enumeration Date: | 06/22/2018 |
| Last Updated: | 06/22/2018 |
Provider Practice Location
2054 68TH ST
BROOKLYN
NY
112044615
Practice Location Phone/Fax
| Phone: | 9174033117 |
| Fax: |
Provider Mailing Location
2054 68TH ST
BROOKLYN
NY
112044615
Provider Mailing Phone/Fax
| Phone: | 9174033117 |
| Fax: |