Organization
TENCARE PHARMACY INC
Active
Other names
Tencare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE VU (PRESIDENT)
(917) 624-8886
Entity
Organization
Contact information
Practice address
750 LONG BEACH BLVD STE 3, LONG BEACH, CA 90813-4417
(917) 624-8886
Mailing address
PO BOX 20358, LONG BEACH, CA 90801-3358
(917) 624-8886
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53618
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158347
PK
—
Enumeration date
02/26/2016
Last updated
04/07/2016
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