| NPI | 1801307590 |
|---|---|
| Doing Business As | TRACK MTM |
| Entity Type | Organization |
| Authorized Contact | TRAM NGUYEN CEO 760-304-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |