Healthcare Provider Details

I. General information

NPI: 1053619015
Provider Name (Legal Business Name): MICHAEL HUU TRUONG RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2011
Last Update Date: 02/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 N DUPONT BLVD
MILFORD DE
19963-1001
US

IV. Provider business mailing address

677 N DUPONT BLVD
MILFORD DE
19963-1001
US

V. Phone/Fax

Practice location:
  • Phone: 302-422-3341
  • Fax: 302-422-8575
Mailing address:
  • Phone: 302-422-3341
  • Fax: 302-422-8575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0003247
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: