Healthcare Provider Details

I. General information

NPI: 1629064860
Provider Name (Legal Business Name): T5 PHARMACY PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E HUNTINGTON DR STE 1110
ARCADIA CA
91006-3748
US

IV. Provider business mailing address

450 E HUNTINGTON DR STE 1110
ARCADIA CA
91006-3748
US

V. Phone/Fax

Practice location:
  • Phone: 626-445-9100
  • Fax: 626-445-1724
Mailing address:
  • Phone: 626-445-9100
  • Fax: 626-445-1724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number37268
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT TERASAWA
Title or Position: OWNER/ PHARMACIST IN CHARGE
Credential: PHARM. D.
Phone: 626-445-9100