| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TANGTANG ZHAO | 1174137129 | 2020-09-06 |
Tangtang Zhao is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174137129. Registration indicates Tangtang Zhao is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Tangtang Zhao |
| Practice Office Address | 9148 S COMMERCIAL AVE CHICAGO, IL US |
| Practice Office Telephone | 7737216603 |
| Mailing Address | 9148 S COMMERCIAL AVE CHICAGO, IL 606174307 US |
| store email [Walgreens] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 051.301150
IL |
| 051.301150 | OTHER | IL | IDFPR |