Tammara, Randy
Tammara, Randy is an sole proprietor health care provider with primary practice located at 7601 Castor Ave Lobby Level Suite 100, Phila PA 19152-4026. He recently has only one registered license in Pharmacy Service Providers / Psychiatric, which is considered as his primary health care specialty. Tammara, Randy can be contacted via phone (215) 880-8536.Contact Information
Primary practice address
7601 Castor Ave Lobby Level Suite 100
Phila PA 19152-4026
Phone: (215) 880-8536
Fax: (215) 722-8091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Psychiatric | 1835P1300X | RP039233L | Pennsylvania |
Profile Details
| NPI number | 1841518511 |
|---|---|
| LBN Legal business name | Tammara, Randy |
| Credentials | PHARMD CDE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2010 |
| Last updated | May 5th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841518511 | NPPES |
| New Jersey | Other | 28RI02370800 | NEW JERSEY STATE BOARD OF PHARMACY |
| New Jersey | Other | 2001-0518 | NEW JERSEY STATE BOARD OF PHARMACY |
| New Jersey | Other | RP039233L | NEW JERSEY STATE BOARD OF PHARMACY |
| New Jersey | Other | PS 44978 | NEW JERSEY STATE BOARD OF PHARMACY |
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