Organization
TC MEDICAL PHARMACY CORP
Active
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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