Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAYA ANGELA TATUM, PHARMD
Active Sole ProprietorDR. MAYA ANGELA TATUM, PHARMD is a Pharmacist Clinician (PhC) healthcare provider located in NORTH WALES, Pennsylvania. NPI 1639448426 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · NORTH WALES, PA
Registration Details
- NPI Number
- 1639448426
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 22, 2011 (14.643299306827 yrs)
- Last Updated
- Dec 22, 2011
- Licenses
-
RPI005647 (PA)RP441117 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
701 N WALES RDNORTH WALES, PA, 194542754Browse PA providers · Browse ZIP 19454
- Phone
- 2154128709
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.