=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447700737
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | T & T CARE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/11/2016
-----------------------------------------------------
Last Update Date | 05/26/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2015 WILSHIRE BLVD
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90057-3503
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-315-5383
-----------------------------------------------------
Fax | 213-315-5384
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2015 WILSHIRE BLVD
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90057-3503
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-315-5383
-----------------------------------------------------
Fax | 213-315-5384
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST IN CHARGE
-----------------------------------------------------
Name | JASON TRAN
-----------------------------------------------------
Credential | PHARM.D
-----------------------------------------------------
Telephone | 714-204-6722
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 54590
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------