Provider Demographics
NPI:1437520558
Name:P & T VENTURE INC
Entity Type:Organization
Organization Name:P & T VENTURE INC
Other - Org Name:QLT CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:PHUC HUY
Authorized Official - Last Name:DANG NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, MBA
Authorized Official - Phone:714-531-1888
Mailing Address - Street 1:16055-D BROOKHURST ST
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-1544
Mailing Address - Country:US
Mailing Address - Phone:714-531-1888
Mailing Address - Fax:714-531-0588
Practice Address - Street 1:16055-D BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-1544
Practice Address - Country:US
Practice Address - Phone:714-531-1888
Practice Address - Fax:714-531-0588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-15
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 533003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5657385OtherNCPDP PROVIDER IDENTIFICATION NUMBER