Provider Demographics
NPI:1669176236
Name:TRAN-CAO, MIA MAYUMI (PHARMD)
Entity type:Individual
Prefix:
First Name:MIA
Middle Name:MAYUMI
Last Name:TRAN-CAO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MIA
Other - Middle Name:MAYUMI CAO
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:94-809 LUMIAINA ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-5025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:94-809 LUMIAINA ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-5025
Practice Address - Country:US
Practice Address - Phone:415-670-0505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-4635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist