Provider Demographics
NPI:1235411935
Name:TRAN, BINH K (PHARMD)
Entity Type:Individual
Prefix:
First Name:BINH
Middle Name:K
Last Name:TRAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 MOWRY AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1619
Mailing Address - Country:US
Mailing Address - Phone:510-742-9356
Mailing Address - Fax:510-742-9386
Practice Address - Street 1:2600 MOWRY AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1619
Practice Address - Country:US
Practice Address - Phone:510-742-9356
Practice Address - Fax:510-742-9386
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54821183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist