Provider Demographics
NPI:1386927606
Name:TRAN, HUONG THI THUY (PHARMD)
Entity type:Individual
Prefix:
First Name:HUONG
Middle Name:THI THUY
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 1:250 FLORIN RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-1405
Mailing Address - Country:US
Mailing Address - Phone:916-399-0650
Mailing Address - Fax:916-399-0656
Practice Address - Street 1:250 FLORIN RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-1405
Practice Address - Country:US
Practice Address - Phone:916-399-0650
Practice Address - Fax:916-399-0656
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55640183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist