Provider Demographics
NPI:1487006243
Name:DOAN, CHARLES TRI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:TRI
Last Name:DOAN
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 1:2729 DARKNELL WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2244
Mailing Address - Country:US
Mailing Address - Phone:408-569-3544
Mailing Address - Fax:
Practice Address - Street 1:7465 RUSH RIVER DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-5255
Practice Address - Country:US
Practice Address - Phone:916-399-9060
Practice Address - Fax:916-399-1518
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74389183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist