Organization
TRACK MTM PHARMACY INC.
Active
Other names
Track MTM
Organization subpart
No
Provider details
NPI number
Authorized official
TRAM NGUYEN (CEO)
(760) 304-2633
Entity
Organization
Contact information
Practice address
4311 HAINES ST APT 1, SAN DIEGO, CA 92109-4307
(760) 304-2633
Mailing address
4311 HAINES ST APT 1, SAN DIEGO, CA 92109-4307
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
—
—
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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