Provider Demographics
NPI:1902383185
Name:TB PHARMACY INC.
Entity Type:Organization
Organization Name:TB PHARMACY INC.
Other - Org Name:BEST CARE PHARMACY III
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:YONG
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-690-1211
Mailing Address - Street 1:4931 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-2215
Mailing Address - Country:US
Mailing Address - Phone:215-842-5620
Mailing Address - Fax:215-842-5624
Practice Address - Street 1:4931 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-2215
Practice Address - Country:US
Practice Address - Phone:215-842-5620
Practice Address - Fax:215-842-5624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PP482801333600000X
PAPP4828013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy