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NPI Code Detail

MEDICARE: THAO THI THANH TRAN-KAM RPH

MEDICARE: THAO THI THANH TRAN-KAM 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
1183500000XPharmacist77102CA

General Provider Information

NPI Number : 1497228803
Entity Type Code : Individual
Provider Name (Legal Business Name) : THAO THI THANH TRAN-KAM RPH
Provider Business Mailing Address
First Line : 237 SUDAN LOOP
Second Line :
City : PACHECO
State : CA
Zip : 94553-5249
Country : US
Telephone Number : 925-917-1605
Fax Number :
Provider Business Practice Location Address
First Line : 1900 DAVIS ST # 188B
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94577-1209
Country : US
Telephone Number : 510-562-6815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2019
Last Update Date : 03/23/2026

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