NPI 1063829851

Dominic Tang

Practitioner Pharmacist Fremont, NE

Practice location

Address: 1531 N Bell St, Fremont, NE 68025-3536
Phone: (402) 727-1995
Fax: (402) 753-0073

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 8640 (NE)

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Registry record

NPI: 1063829851
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2014
Record last updated: 14 Jul 2014

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.