Healthcare Provider Details

I. General information

NPI: 1568809762
Provider Name (Legal Business Name): DON KHANG TRAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2013
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PLAZA DR INPATIENT PHARMACY
ROSEVILLE CA
95661-3037
US

IV. Provider business mailing address

1900 DRESDEN DR
LINCOLN CA
95648-8803
US

V. Phone/Fax

Practice location:
  • Phone: 916-996-7230
  • Fax:
Mailing address:
  • Phone: 916-996-7230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number60382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: