MEDICARE: DOROTHY TIEN TRAN HUTCHINGS 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	63160	CA

General Provider Information

NPI Number	:	1598159238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHY TIEN TRAN HUTCHINGS PHARM. D.

Provider Business Mailing Address
First Line	:	27760 MCBEAN PKWY
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91354-1430
Country	:	US
Telephone Number	:	661-263-6480
Fax Number	:	661-263-6488

Provider Business Practice Location Address
First Line	:	27760 MCBEAN PKWY
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91354-1430
Country	:	US
Telephone Number	:	661-263-6480
Fax Number	:	661-263-6488

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

Provider Enumeration Date	:	03/19/2015
Last Update Date	:	03/19/2015

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