Healthcare Provider Details

I. General information

NPI: 1467860965
Provider Name (Legal Business Name): LOAN NGHI TRINH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9245 W UNION HILLS DR
PEORIA AZ
85382-8154
US

IV. Provider business mailing address

9245 W UNION HILLS DR
PEORIA AZ
85382-8154
US

V. Phone/Fax

Practice location:
  • Phone: 623-972-8425
  • Fax:
Mailing address:
  • Phone: 480-832-3340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS020212
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: