MEDICARE: DR. MELANY TRUONG PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	63775	CA

General Provider Information

NPI Number	:	1083935613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELANY TRUONG PHARMD

Provider Business Mailing Address
First Line	:	3232 EAST RADCLIFFE AVE
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92807
Country	:	US
Telephone Number	:	714-300-8741
Fax Number	:

Provider Business Practice Location Address
First Line	:	3232 E RADCLIFFE AVE
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92806-1138
Country	:	US
Telephone Number	:	714-300-8741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2010
Last Update Date	:	06/17/2010

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Directions to “ DR. MELANY TRUONG PHARMD” Practice Location

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