Tan, Evani S

Tan, Evani S is an individual health care provider with primary practice located at 26520 Cactus Ave , Moreno Valley CA 92555-3927. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Tan, Evani S can be contacted via phone (951) 358-4700.

Contact Information

Primary practice address
26520 Cactus Ave Moreno Valley CA 92555-3927
Phone: (951) 358-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 61305 California

Profile Details

NPI number 1548419963
LBN Legal business name Tan, Evani S
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated Sep 9th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548419963 NPPES
California Other 1083794580 NPI
California MEDICAID PHE435930 NPI

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