Organization
TC MEDICAL PHARMACY CORP
Active
Other names
TC MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY VAN LE PHARM D (SECRETARY/PHARMACIST IN CHARGE)
(951) 371-2003
Entity
Organization
Contact information
Practice address
760 WASHBURN AVE, #1, CORONA, CA 92882-3303
(951) 371-2003
(951) 371-2002
Mailing address
760 WASHBURN AVE, #1, CORONA, CA 92882-3303
(951) 371-2003
(951) 371-2002
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 50347
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 50347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY 50347
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
07/20/2010
Last updated
02/29/2012
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