Provider Demographics
NPI:1316497670
Name:TRAN, HUONG-THU THI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HUONG-THU
Middle Name:THI
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11421 186TH ST APT 117
Mailing Address - Street 2:APT 117
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-5548
Mailing Address - Country:US
Mailing Address - Phone:443-739-6931
Mailing Address - Fax:
Practice Address - Street 1:19503 NORMANDIE AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-1361
Practice Address - Country:US
Practice Address - Phone:310-782-6554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75245183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist