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NPI Code Detail

MEDICARE: T5 PHARMACY PROFESSIONAL CORPORATION

MEDICARE: T5 PHARMACY PROFESSIONAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy37268CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629064860
Entity Type Code : Organization
Provider Name (Legal Business Name) : T5 PHARMACY PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 450 E HUNTINGTON DR STE 1110
Second Line :
City : ARCADIA
State : CA
Zip : 91006-3748
Country : US
Telephone Number : 626-445-9100
Fax Number : 626-445-1724
Provider Business Practice Location Address
First Line : 450 E HUNTINGTON DR STE 1110
Second Line :
City : ARCADIA
State : CA
Zip : 91006-3748
Country : US
Telephone Number : 626-445-9100
Fax Number : 626-445-1724
Authorized Official
Title or Position : OWNER/ PHARMACIST IN CHARGE
Name : DR. ROBERT TERASAWA
Credential : PHARM. D.
Telephone Number : 626-445-9100
Provider Enumeration Date : 09/22/2005
Last Update Date : 02/05/2026

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Directions to “T5 PHARMACY PROFESSIONAL CORPORATION ” Practice Location

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