Provider Demographics
NPI:1417744343
Name:TAI ON PHARMACY INC
Entity type:Organization
Organization Name:TAI ON PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:KAM
Authorized Official - Middle Name:HO
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:213-625-3333
Mailing Address - Street 1:818 N HILL ST STE A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2395
Mailing Address - Country:US
Mailing Address - Phone:213-625-3333
Mailing Address - Fax:213-625-7671
Practice Address - Street 1:818 N HILL ST STE A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-2395
Practice Address - Country:US
Practice Address - Phone:213-625-3333
Practice Address - Fax:213-625-7671
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAI ON PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy