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NPI Code Detail

MEDICARE: TAMI TRUONG PHARMD

MEDICARE: TAMI 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
1183500000XPharmacist70907CA

General Provider Information

NPI Number : 1487053955
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMI TRUONG PHARMD
Provider Business Mailing Address
First Line : 411 LEWIS RD
Second Line : SPC 338
City : SAN JOSE
State : CA
Zip : 95111-2132
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1850 PRAIRIE CITY RD
Second Line :
City : FOLSOM
State : CA
Zip : 95630-9518
Country : US
Telephone Number : 916-608-2455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2014
Last Update Date : 08/20/2014

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Directions to “ TAMI TRUONG PHARMD” Practice Location

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