Organization
TT PHARMACY
Active
Other names
Creekside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY TRAN PHARM D (PRESIDENT)
(408) 929-6029
Entity
Organization
Contact information
Practice address
1863 ALUM ROCK AVE STE A, SAN JOSE, CA 95116-1397
(408) 929-6029
(408) 929-6145
Mailing address
1863 ALUM ROCK AVE STE A, SAN JOSE, CA 95116-1397
(408) 929-6029
(408) 929-6145
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154204
PK
—
Enumeration date
09/18/2015
Last updated
08/04/2016
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