Provider Demographics
NPI:1235643008
Name:TRINH, MIKE V (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:MIKE
Middle Name:V
Last Name:TRINH
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6427 BIXBY TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-4772
Mailing Address - Country:US
Mailing Address - Phone:562-394-2541
Mailing Address - Fax:
Practice Address - Street 1:1076 KERN ST
Practice Address - Street 2:
Practice Address - City:TAFT
Practice Address - State:CA
Practice Address - Zip Code:93268-2743
Practice Address - Country:US
Practice Address - Phone:661-763-3132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist