Organization
TRI-TECH PHARMACEUTICALS
Active
Other names
TRI-TECH PHARMACEUTICALS
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR KONG RPH (OWNER, PIC, AO)
(424) 268-1780
Entity
Organization
Contact information
Practice address
910 BROADWAY, NO 105, SANTA MONICA, CA 90401-2795
(424) 268-1780
(424) 268-1784
Mailing address
910 BROADWAY, NO 105, SANTA MONICA, CA 90401-2795
(424) 268-1780
(424) 268-1784
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY49980
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120939
PK
—
Enumeration date
06/18/2009
Last updated
06/27/2016
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