Healthcare Provider Details

I. General information

NPI: 1013212323
Provider Name (Legal Business Name): CUONG TRINH PHARM D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2011
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E MCGLINCY LN STE 102
CAMPBELL CA
95008-5083
US

IV. Provider business mailing address

750 E MCGLINCY LN STE 102
CAMPBELL CA
95008-5083
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-4848
  • Fax: 408-356-4949
Mailing address:
  • Phone: 408-356-4848
  • Fax: 408-356-4949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number50586
License Number StateCA

VIII. Authorized Official

Name: CUONG TRINH
Title or Position: PIC
Credential:
Phone: 408-356-4848