# T&T PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prodigy Specialty Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295527463
- **Authorized official:** KELLY PHAM PHARMD (OWNER)
- **Authorized official phone:** (909) 362-0315

## Contact information

- **Practice address:** 1216 W AVENUE J STE 100, LANCASTER, CA 93534-2944
- **Practice address phone:** (909) 362-0315
- **Mailing address:** 43942 WINDROSE PL, LANCASTER, CA 93536-5562
- **Mailing address phone:** (909) 362-0315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/21/2025
- **Last updated:** 05/21/2025