MEDICARE: THUHA TRAN PHARM. D.

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	46901	CA

General Provider Information

NPI Number	:	1578613147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THUHA TRAN PHARM. D.

Provider Business Mailing Address
First Line	:	PO BOX 26032
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92799-6032
Country	:	US
Telephone Number	:	714-369-0728
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 S BRISTOL ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-7302
Country	:	US
Telephone Number	:	714-540-0393
Fax Number	:

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	07/08/2007

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