Provider Demographics
NPI:1295814960
Name:TTT HEALTHCARE INC
Entity Type:Organization
Organization Name:TTT HEALTHCARE INC
Other - Org Name:986 PHARMACY #8014
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ANH
Authorized Official - Middle Name:T
Authorized Official - Last Name:THAI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:626-288-8515
Mailing Address - Street 1:616 N. GARFIELD AVE.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1153
Mailing Address - Country:US
Mailing Address - Phone:626-288-8515
Mailing Address - Fax:626-288-2549
Practice Address - Street 1:616 N. GARFIELD AVE.
Practice Address - Street 2:SUITE 101
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1153
Practice Address - Country:US
Practice Address - Phone:626-288-8515
Practice Address - Fax:626-288-2549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA59006OtherSTATE BOARD OF PHARMACY
CAPHA343570Medicaid
0590578OtherOTHER ID NUMBER-COMMERCIAL NUMBER