Organization
TEK PHARMACY INCORPORATED
Active
Other names
DEL AMO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY T WONG PHARM D (CEO/PIC)
(310) 543-1331
Entity
Organization
Contact information
Practice address
21320 HAWTHORNE BLVD, STE 112, TORRANCE, CA 90503-5606
(310) 543-1331
(310) 543-0020
Mailing address
21320 HAWTHORNE BLVD, STE 112, TORRANCE, CA 90503-5606
(310) 543-1331
(310) 543-0020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY50827
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY50827
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0512156
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
PHY 50827
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
02/08/2006
Last updated
05/02/2012
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