NPI 1003058686

Jenny Tam, PHARMD

Practitioner Pharmacist New York, NY

Practice location

Address: 200 W End Ave, New York, NY 10023-4801
Phone: (212) 496-4198
Mailing address: 2045 Bay Ridge Ave, Brooklyn, NY 11204-4630

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 052489 (NY)

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Registry record

NPI: 1003058686
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2009
Record last updated: 29 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.