MEDICARE: TRINI TRANG TRUONG RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	64478	TX
2	183500000X	Pharmacist	PH237769	MA

General Provider Information

NPI Number	:	1134716582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRINI TRANG TRUONG RPH

Provider Business Mailing Address
First Line	:	2 CROSS ST APT 2
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-2303
Country	:	US
Telephone Number	:	617-833-7185
Fax Number	:

Provider Business Practice Location Address
First Line	:	427 WASHINGTON ST
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-2639
Country	:	US
Telephone Number	:	617-783-2577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2020
Last Update Date	:	12/30/2020

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Directions to “ TRINI TRANG TRUONG RPH” Practice Location

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