Christopher D. Tan, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Tamc, HI

NPI 1861694564 · NPPES record last updated Sep 13, 2023

Key facts

NPI
1861694564
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
PH1661 (HI)
Practice address
1 Jarrett White Rd
Tamc, HI 96859-5001
Phone
(808) 433-4264
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH1661HIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH1661 HI Yes

Addresses

Primary practice location

1 Jarrett White Rd
Tamc, HI 96859-5001

Mailing address

3058 Hiehie St
Honolulu, HI 96822-1506
Phone (808) 433-4264

Other providers in Tamc, HI

All providers in Tamc, HI · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Hawaii

Sources for this page

Verify at the official NPI Registry.