Provider Demographics
NPI:1477711331
Name:TRUONG, BICH THUY TRAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BICH THUY
Middle Name:TRAN
Last Name:TRUONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:THUY
Other - Middle Name:ANGELA
Other - Last Name:TRUONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2515 TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-5909
Mailing Address - Country:US
Mailing Address - Phone:727-403-0734
Mailing Address - Fax:909-825-5050
Practice Address - Street 1:1133 N MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-2554
Practice Address - Country:US
Practice Address - Phone:909-825-6731
Practice Address - Fax:909-825-5050
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60566183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist