Organization
T & G HEALTHCARE, INC.
Active
Other names
Cal Med Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH-LONG THAI PHARM.D. (CEO)
(949) 586-1700
Entity
Organization
Contact information
Practice address
3948 PECK RD, STE. A1, EL MONTE, CA 91732-2255
(626) 448-2507
(626) 448-2576
Mailing address
24031 MARGUERITE PKWY STE A, MISSION VIEJO, CA 92692-1929
(949) 586-1700
(949) 586-4683
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 54479
CA
3336C0004X
Compounding Pharmacy
PHY 54479
CA
3336L0003X
Long Term Care Pharmacy
PHY 54479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY 54479
BOARD OF PHARMACY
CA
Enumeration date
08/12/2016
Last updated
08/12/2016
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