Provider Demographics
NPI:1174841639
Name:TRAN, DANH PHUC (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:DANH
Middle Name:PHUC
Last Name:TRAN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8275 MEDEIROS WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-8163
Mailing Address - Country:US
Mailing Address - Phone:916-647-3872
Mailing Address - Fax:
Practice Address - Street 1:1260 W CAPITOL AVE
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-2719
Practice Address - Country:US
Practice Address - Phone:916-371-4890
Practice Address - Fax:916-371-4675
Is Sole Proprietor?:No
Enumeration Date:2010-05-08
Last Update Date:2010-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59475183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist