Healthcare Provider Details
I. General information
NPI: 1619374006
Provider Name (Legal Business Name): TMT INTERNATIONAL PHARMACEUTICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/01/2014
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7921 WESTMINSTER BLVD
WESTMINSTER CA
92683-4001
US
IV. Provider business mailing address
7921 WESTMINSTER BLVD
WESTMINSTER CA
92683-4001
US
V. Phone/Fax
- Phone: 714-988-6888
- Fax: 714-677-2400
- Phone: 714-988-6888
- Fax: 714-677-2400
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PHY52046 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TUAN
TRAN
Title or Position: PRESIDENT/OWNER-PHARMACIST
Credential:
Phone: 714-725-1511