Provider Demographics
NPI:1255612313
Name:TANG, LOUIS K (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:K
Last Name:TANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 YERBA BUENA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-1544
Mailing Address - Country:US
Mailing Address - Phone:415-812-5979
Mailing Address - Fax:415-344-0895
Practice Address - Street 1:116 NEW MONTGOMERY ST
Practice Address - Street 2:WALGREENS # 6291
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-3607
Practice Address - Country:US
Practice Address - Phone:415-344-0891
Practice Address - Fax:415-344-0895
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35905183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist