Healthcare Provider Details

I. General information

NPI: 1417744343
Provider Name (Legal Business Name): TAI ON PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 N HILL ST STE A
LOS ANGELES CA
90012-2395
US

IV. Provider business mailing address

818 N HILL ST STE A
LOS ANGELES CA
90012-2395
US

V. Phone/Fax

Practice location:
  • Phone: 213-625-3333
  • Fax: 213-625-7671
Mailing address:
  • Phone: 213-625-3333
  • Fax: 213-625-7671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KAM HO CHAN
Title or Position: PHARMACIST-IN-CHARGE
Credential: PHARMD
Phone: 213-625-3333