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NPI Code Detail

MEDICARE: DAVID TRUONG PHARMD

MEDICARE: DAVID TRUONG 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
1183500000XPharmacist60256CA

General Provider Information

NPI Number : 1598181836
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID TRUONG PHARMD
Provider Business Mailing Address
First Line : 650 GATEWAY CENTER DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-4530
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 650 GATEWAY CENTER DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-4530
Country : US
Telephone Number : 619-358-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2014
Last Update Date : 03/11/2014

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Directions to “ DAVID TRUONG PHARMD” Practice Location

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