Provider Demographics
NPI:1164708020
Name:TRAN, MINH HOI (PHARMD)
Entity Type:Individual
Prefix:
First Name:MINH
Middle Name:HOI
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 1:8718 FRAZER RIVER CIR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5502
Mailing Address - Country:US
Mailing Address - Phone:714-856-3236
Mailing Address - Fax:714-839-5024
Practice Address - Street 1:16201 HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-1371
Practice Address - Country:US
Practice Address - Phone:714-839-3496
Practice Address - Fax:714-839-5024
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist