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NPI Code Detail

MEDICARE: BINH NAM TRAN PHARM.D.

MEDICARE: BINH NAM 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
1183500000XPharmacistRPH60857CA

General Provider Information

NPI Number : 1558644252
Entity Type Code : Individual
Provider Name (Legal Business Name) : BINH NAM TRAN PHARM.D.
Provider Business Mailing Address
First Line : 42688 RAVENSBOURNE PARK ST
Second Line :
City : FREMONT
State : CA
Zip : 94538-3948
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3860 DECOTO RD
Second Line :
City : FREMONT
State : CA
Zip : 94555-3112
Country : US
Telephone Number : 510-793-9798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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Directions to “ BINH NAM TRAN PHARM.D.” Practice Location

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