Healthcare Provider Details

I. General information

NPI: 1023405909
Provider Name (Legal Business Name): WILLIAM ROBERT TRUONG PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2015
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W STEWART DR
ORANGE CA
92868-3849
US

IV. Provider business mailing address

1100 W STEWART DR DEPARTMENT OF PHARMACY
ORANGE CA
92868-3849
US

V. Phone/Fax

Practice location:
  • Phone: 714-771-8000
  • Fax:
Mailing address:
  • Phone: 714-771-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number72000
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: