Organization
TRI-CITY PHARMACY
Active
Other names
Tri-City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA BASRAI PHARM. D (PHARMACIST)
(510) 366-9218
Entity
Organization
Contact information
Practice address
1132 CADILLAC CT, MILPITAS, CA 95035-3058
(408) 935-9120
(408) 935-9121
Mailing address
1132 CADILLAC CT, MILPITAS, CA 95035-3058
(408) 935-9120
(408) 935-9121
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHY49020
CA
3336L0003X
Long Term Care Pharmacy
Primary
—
CA
3336S0011X
Specialty Pharmacy
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5631963
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/20/2008
Last updated
08/26/2019
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