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General NPI Number Information
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NPI Number | 1295527463
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Entity Type | Organization
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Legal Business Name | T&T PHARMACY LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1216 W AVENUE J STE 100
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City | LANCASTER
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State | CA
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Zip | 93534-2944
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Country | US
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Telephone | 909-362-0315
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Fax |
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Provider Business Mailing Address
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Address Line | 43942 WINDROSE PL
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City | LANCASTER
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State | CA
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Zip | 93536-5562
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Country | US
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Telephone | 909-362-0315
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELLY PHAM
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Credential | PHARMD
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Telephone | 909-362-0315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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