Provider Demographics
NPI:1164958658
Name:TCY PHARMACY INC
Entity Type:Organization
Organization Name:TCY PHARMACY INC
Other - Org Name:SUITECARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT /CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CECILE MARIE
Authorized Official - Middle Name:ARELLANO
Authorized Official - Last Name:ALCARAZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:619-434-6973
Mailing Address - Street 1:1120 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-2546
Mailing Address - Country:US
Mailing Address - Phone:619-434-6973
Mailing Address - Fax:619-434-8973
Practice Address - Street 1:1120 E 8TH ST
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2546
Practice Address - Country:US
Practice Address - Phone:619-434-6973
Practice Address - Fax:619-434-8973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY59025OtherBOARD OF PHARMACY