| NPI | 1245469295 |
|---|---|
| Doing Business As | TRICARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK HOWARD DEUTSCH Member 818-985-1814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY 46616) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |