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NPI Code Detail

MEDICARE: TAK HEALTHCARE INC

MEDICARE: TAK HEALTHCARE INC
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1861537490
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAK HEALTHCARE INC
Provider Business Mailing Address
First Line : 9126 VALLEY BLVD
Second Line : SUITE A
City : ROSEMEAD
State : CA
Zip : 91770-1987
Country : US
Telephone Number : 626-307-5501
Fax Number : 626-307-5502
Provider Business Practice Location Address
First Line : 9126 VALLEY BLVD
Second Line : SUITE A
City : ROSEMEAD
State : CA
Zip : 91770-1987
Country : US
Telephone Number : 626-307-5501
Fax Number : 626-307-5502
Authorized Official
Title or Position : CEO
Name : QUANG K THAI
Credential : PHARM.D.
Telephone Number : 626-307-5501
Provider Enumeration Date : 02/21/2007
Last Update Date : 11/30/2023

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Directions to “TAK HEALTHCARE INC ” Practice Location

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