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NPI Code Detail

MEDICARE: DR. ANH T TRUONG PHARM. D

MEDICARE:  DR. ANH T TRUONG  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
1183500000XPharmacist69574CA

General Provider Information

NPI Number : 1548684194
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANH T TRUONG PHARM. D
Provider Business Mailing Address
First Line : 2590 N TEXAS ST
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-1606
Country : US
Telephone Number : 707-399-9329
Fax Number : 707-399-9520
Provider Business Practice Location Address
First Line : 2590 N TEXAS ST
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-1606
Country : US
Telephone Number : 707-399-9329
Fax Number : 707-399-9520
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 “ DR. ANH T TRUONG PHARM. D” Practice Location

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