MEDICARE: MRS. ANN NGUYEN 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
1	183500000X	Pharmacist	52936	CA

General Provider Information

NPI Number	:	1871870634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANN NGUYEN TRAN PHARM D

Provider Business Mailing Address
First Line	:	16411 WOODSTOCK LN
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3239
Country	:	US
Telephone Number	:	714-931-5651
Fax Number	:

Provider Business Practice Location Address
First Line	:	2670 N MAIN ST STE 100
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-6639
Country	:	US
Telephone Number	:	949-748-7521
Fax Number	:

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

Provider Enumeration Date	:	11/08/2011
Last Update Date	:	01/30/2018

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