MEDICARE: MILA TREMBLAY PHARMD

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	69367	CA

General Provider Information

NPI Number	:	1558796847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILA TREMBLAY PHARMD

Provider Business Mailing Address
First Line	:	2800 NAGLEE RD
Second Line	:
City	:	TRACY
State	:	CA
Zip	:	95304-7307
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3243 POMERADO DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95135-2329
Country	:	US
Telephone Number	:	408-429-0425
Fax Number	:

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

Provider Enumeration Date	:	09/05/2013
Last Update Date	:	09/05/2013

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Directions to “ MILA TREMBLAY PHARMD” Practice Location

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