Provider Demographics
NPI:1528510823
Name:TRAN, UYEN NHA THI (PHARMD)
Entity type:Individual
Prefix:
First Name:UYEN
Middle Name:NHA 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 1:8911 GLENEAGLES CIR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6829
Mailing Address - Country:US
Mailing Address - Phone:714-260-2160
Mailing Address - Fax:
Practice Address - Street 1:8911 GLENEAGLES CIR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6829
Practice Address - Country:US
Practice Address - Phone:714-260-2160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75487183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist