Provider Demographics
NPI:1528771201
Name:TRAN, HANNAH LYDIA
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:LYDIA
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-5102
Mailing Address - Country:US
Mailing Address - Phone:831-442-2961
Mailing Address - Fax:831-998-9745
Practice Address - Street 1:134 THOMAS AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOUSE
Practice Address - State:CA
Practice Address - Zip Code:95391-1007
Practice Address - Country:US
Practice Address - Phone:408-828-1871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85995183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist