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NPI Code Detail

MEDICARE: HENRRY TRUONG PHARM D

MEDICARE: HENRRY TRUONG 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
1183500000XPharmacist71363CA

General Provider Information

NPI Number : 1871966556
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRRY TRUONG PHARM D
Provider Business Mailing Address
First Line : 1830 N BROADWAY
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-1449
Country : US
Telephone Number : 805-348-3555
Fax Number :
Provider Business Practice Location Address
First Line : 1830 N BROADWAY
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-1449
Country : US
Telephone Number : 805-348-3555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2015
Last Update Date : 11/04/2015

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Directions to “ HENRRY TRUONG PHARM D” Practice Location

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