Provider Demographics
NPI:1386929537
Name:TRAN, VICKY DIEU (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VICKY
Middle Name:DIEU
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2585 ALMADEN RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-3603
Mailing Address - Country:US
Mailing Address - Phone:408-723-9905
Mailing Address - Fax:408-723-4931
Practice Address - Street 1:2585 ALMADEN RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-3603
Practice Address - Country:US
Practice Address - Phone:408-723-9905
Practice Address - Fax:408-723-4931
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH50172183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist