Provider Demographics
NPI:1053420794
Name:TSE, TERENCE C (PHARMD)
Entity type:Individual
Prefix:
First Name:TERENCE
Middle Name:C
Last Name:TSE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11633 NITTA
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-3389
Mailing Address - Country:US
Mailing Address - Phone:714-352-6950
Mailing Address - Fax:
Practice Address - Street 1:935 S GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4442
Practice Address - Country:US
Practice Address - Phone:626-281-3633
Practice Address - Fax:626-281-1756
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH43540183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist