# TIB PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TIB Escalon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194471425
- **Authorized official:** NAWEED MUHAMMAD (CEO)
- **Authorized official phone:** (510) 902-8080

## Contact information

- **Practice address:** 1900 MCHENRY AVE STE 205, ESCALON, CA 95320-9473
- **Practice address phone:** (209) 900-1977
- **Practice address fax:** (209) 900-1774
- **Mailing address:** 5886 MOWRY SCHOOL RD \# TEAM0002, NEWARK, CA 94560-5367
- **Mailing address phone:** (209) 900-1977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2022
- **Last updated:** 11/10/2023