Provider Demographics
NPI:1518088541
Name:TRAN, JASMINE NGHIEN (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:NGHIEN
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 RIVIERA DR
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-2230
Mailing Address - Country:US
Mailing Address - Phone:619-204-4908
Mailing Address - Fax:
Practice Address - Street 1:2408 RIVIERA DR
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91915-2230
Practice Address - Country:US
Practice Address - Phone:619-204-4908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist