Provider Demographics
NPI:1326397332
Name:TRANG, DENNIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:TRANG
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 1:616 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-2424
Mailing Address - Country:US
Mailing Address - Phone:415-713-3125
Mailing Address - Fax:
Practice Address - Street 1:33 DRUMM ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-4805
Practice Address - Country:US
Practice Address - Phone:415-989-6116
Practice Address - Fax:415-989-6143
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist