Healthcare Provider Details

I. General information

NPI: 1124719075
Provider Name (Legal Business Name): TUK CONSULTING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 12/21/2024
Certification Date: 12/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7837 WESTMINSTER BLVD
WESTMINSTER CA
92683-4033
US

IV. Provider business mailing address

7837 WESTMINSTER BLVD
WESTMINSTER CA
92683-4033
US

V. Phone/Fax

Practice location:
  • Phone: 657-227-3686
  • Fax:
Mailing address:
  • Phone: 657-227-3686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KELLY KHUONG TRAN
Title or Position: OFFICER
Credential:
Phone: 657-227-3686