Organization
T&T PHARMACY LLC
Active
Other names
Prodigy Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PHAM PHARMD (OWNER)
(909) 362-0315
Entity
Organization
Contact information
Practice address
1216 W AVENUE J STE 100, LANCASTER, CA 93534-2944
(909) 362-0315
Mailing address
43942 WINDROSE PL, LANCASTER, CA 93536-5562
(909) 362-0315
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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