Provider Demographics
NPI:1992322440
Name:TANGYIE, TAH YIH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAH
Middle Name:YIH
Last Name:TANGYIE
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 1:6200 SE 14TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50320-1707
Mailing Address - Country:US
Mailing Address - Phone:515-309-5468
Mailing Address - Fax:515-309-5471
Practice Address - Street 1:6200 SE 14TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50320-1707
Practice Address - Country:US
Practice Address - Phone:515-309-5468
Practice Address - Fax:515-309-5471
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist