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NPI Code Detail

MEDICARE: TRAN NGUYEN PHARMD

MEDICARE: TRAN NGUYEN 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
1183500000XPharmacist52769CA

General Provider Information

NPI Number : 1922383116
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAN NGUYEN PHARMD
Provider Business Mailing Address
First Line : 3382 CASTRO VALLEY BLVD
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-5623
Country : US
Telephone Number : 510-537-0072
Fax Number : 510-537-0427
Provider Business Practice Location Address
First Line : 3382 CASTRO VALLEY BLVD
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-5623
Country : US
Telephone Number : 510-537-0072
Fax Number : 510-537-0427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2011
Last Update Date : 10/19/2011

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