Most Relevant Information
Provider Data
| NPI Number: | 1003448747 |
| Provider Name: | MI TIEU TANG RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302031938 |
Most Important Dates
| Enumeration Date: | 02/11/2020 |
| Last Updated: | 02/11/2020 |
Provider Practice Location
5603 BYRON CENTER AVE SW
WYOMING
MI
495198606
Practice Location Phone/Fax
| Phone: | 6165302338 |
| Fax: | 6165302592 |
Provider Mailing Location
5603 BYRON CENTER AVE SW
WYOMING
MI
495198606
Provider Mailing Phone/Fax
| Phone: | 6165302338 |
| Fax: | 6165302592 |