MEDICARE: HENRY TRAN PHARM.D

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	68643	CA
2	183500000X	Pharmacist	3401	HI

General Provider Information

NPI Number	:	1477977098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY TRAN PHARM.D

Provider Business Mailing Address
First Line	:	4172 N 1ST ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-4312
Country	:	US
Telephone Number	:	559-243-0124
Fax Number	:	559-243-0313

Provider Business Practice Location Address
First Line	:	4172 N 1ST ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-4312
Country	:	US
Telephone Number	:	559-243-0124
Fax Number	:	559-243-0313

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

Provider Enumeration Date	:	02/18/2014
Last Update Date	:	02/18/2014

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Directions to “ HENRY TRAN PHARM.D” Practice Location

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