Provider Demographics
NPI:1205227246
Name:TIN RX THE INDEPENDENT NETWORK, INC.
Entity Type:Organization
Organization Name:TIN RX THE INDEPENDENT NETWORK, INC.
Other - Org Name:TIN RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:GLENDA TONGCO
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:530-824-0800
Mailing Address - Street 1:1322 SOLANO STREET
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:CA
Mailing Address - Zip Code:96021
Mailing Address - Country:US
Mailing Address - Phone:530-824-0800
Mailing Address - Fax:530-824-0800
Practice Address - Street 1:1322 SOLANO STREET
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:CA
Practice Address - Zip Code:96021
Practice Address - Country:US
Practice Address - Phone:530-824-0800
Practice Address - Fax:530-824-0800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY560593336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY53571Medicaid