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NPI Code Detail

MEDICARE: CALVIN HUNG TRUONG PHARMD

MEDICARE: CALVIN HUNG 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
1183500000XPharmacist067180NY

General Provider Information

NPI Number : 1508464777
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALVIN HUNG TRUONG PHARMD
Provider Business Mailing Address
First Line : 1920 19TH LN
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-6102
Country : US
Telephone Number : 347-656-5015
Fax Number :
Provider Business Practice Location Address
First Line : 10204 FLATLANDS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-2810
Country : US
Telephone Number : 718-257-1099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2020
Last Update Date : 10/11/2020

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Directions to “ CALVIN HUNG TRUONG PHARMD” Practice Location

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