Ma Theresa Tanchanco
Pharmacist in Seattle, WA. Individual provider (NPI-1).
NPI number1114455151
StatusActive
Last updated in NPPESSep 10, 2018
Details
- NPI
- 1114455151
- Entity type
- Individual (NPI-1)
- Name
- Ma Theresa Tanchanco
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2017
- Last updated
- Sep 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PH60627123 | WA | Yes |
Practice location
4025 Delridge Way SwSeattle, WA 98106-1249
Phone 971-801-2050
Mailing address
4025 Delridge Way SwSeattle, WA 98106-1249
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