Organization
TSP FIRST HEALTH LLC
Active
Other names
PHARMACITY
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELINO CASAL (MANAGER)
(818) 468-6355
Entity
Organization
Contact information
Practice address
2030 DIAMOND BLVD, CONCORD, CA 94520-5702
(702) 616-6940
Mailing address
2030 DIAMOND BLVD, CONCORD, CA 94520-5702
(702) 616-6940
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50126
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5636381
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/05/2009
Last updated
11/05/2009
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