# TRACK MTM PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Track MTM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801307590
- **Authorized official:** TRAM NGUYEN (CEO)
- **Authorized official phone:** (760) 304-2633

## Contact information

- **Practice address:** 4311 HAINES ST APT 1, SAN DIEGO, CA 92109-4307
- **Practice address phone:** (760) 304-2633
- **Mailing address:** 4311 HAINES ST APT 1, SAN DIEGO, CA 92109-4307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2017
- **Last updated:** 10/20/2017