NPI Database
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Contact Information

TANGO, INC
4090 W CRAIG RD STE 101
NORTH LAS VEGAS, NV89032-2758
 Phone: 702-636-2054
 Fax: 702-636-2028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for TANGO, INC

NPI # 1306385877
LBN Legal business name TANGO, INC
Authorized official ROBENSON APIBO-TANGO - (OWNER PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 02/17/2017
Last updated 01/16/2023 - About 3 years ago
Identifiers
NV License # PH03689
NV Medicaid 1306385877
Other 2168000 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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