Provider Demographics
NPI:1720773419
Name:TAP PHARMACY, INC.
Entity Type:Organization
Organization Name:TAP PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHUONG
Authorized Official - Middle Name:MINH
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:714-299-5998
Mailing Address - Street 1:11801 PIERCE ST UNIT 279
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-4408
Mailing Address - Country:US
Mailing Address - Phone:909-946-6624
Mailing Address - Fax:951-710-3147
Practice Address - Street 1:601 W 6TH ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3210
Practice Address - Country:US
Practice Address - Phone:951-406-1521
Practice Address - Fax:951-406-1520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy