Provider Demographics
NPI:1316085228
Name:NORWOOD, TIFFANY TRAN (PHARM D)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:TRAN
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10102 PREMIER AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5759
Mailing Address - Country:US
Mailing Address - Phone:714-839-9559
Mailing Address - Fax:714-839-9559
Practice Address - Street 1:11100 WARNER AVE
Practice Address - Street 2:SUITE 318
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7506
Practice Address - Country:US
Practice Address - Phone:714-966-7200
Practice Address - Fax:714-966-3337
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 52987183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist