Provider Demographics
NPI:1841940780
Name:TRUCARE PHARMACY CORPORATION
Entity type:Organization
Organization Name:TRUCARE PHARMACY CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:XIAOXI
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-240-8399
Mailing Address - Street 1:3110 CHINO AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1294
Mailing Address - Country:US
Mailing Address - Phone:909-300-0365
Mailing Address - Fax:909-707-6008
Practice Address - Street 1:3110 CHINO AVE STE 100
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-1294
Practice Address - Country:US
Practice Address - Phone:909-585-2825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy