Provider Demographics
NPI:1952591299
Name:T AND J CORP.
Entity Type:Organization
Organization Name:T AND J CORP.
Other - Org Name:T AND J PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / PHARMACIST-IN-CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:TAM
Authorized Official - Middle Name:THANH
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:832-661-0865
Mailing Address - Street 1:10904 SCARSDALE BLVD
Mailing Address - Street 2:SUITE 350-135
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6068
Mailing Address - Country:US
Mailing Address - Phone:832-661-0865
Mailing Address - Fax:281-286-9697
Practice Address - Street 1:561 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4239
Practice Address - Country:US
Practice Address - Phone:281-286-9696
Practice Address - Fax:281-286-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX256533336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy