Provider Demographics
NPI:1326321183
Name:TRAN, BAO-CHAU HOANG (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:MISS
First Name:BAO-CHAU
Middle Name:HOANG
Last Name:TRAN
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 FAIR OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-4809
Mailing Address - Country:US
Mailing Address - Phone:916-480-0979
Mailing Address - Fax:
Practice Address - Street 1:6325 FAIR OAKS BLVD
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-4809
Practice Address - Country:US
Practice Address - Phone:916-480-0979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62488183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist