MEDICARE: HUNG VINH TRUONG 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	75789	CA

General Provider Information

NPI Number	:	1598208431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUNG VINH TRUONG PHARM. D.

Provider Business Mailing Address
First Line	:	1219 N CEDAR AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93703-4313
Country	:	US
Telephone Number	:	559-498-8283
Fax Number	:	559-498-2050

Provider Business Practice Location Address
First Line	:	1219 N CEDAR AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93703-4313
Country	:	US
Telephone Number	:	559-498-8283
Fax Number	:	559-498-2050

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

Provider Enumeration Date	:	11/26/2016
Last Update Date	:	11/26/2016

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