Provider Demographics
NPI:1568997641
Name:TRINH, JOLINE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JOLINE
Middle Name:
Last Name:TRINH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 PLEASANT GROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-6117
Mailing Address - Country:US
Mailing Address - Phone:916-780-4733
Mailing Address - Fax:916-780-4753
Practice Address - Street 1:1030 PLEASANT GROVE BOULEVARD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678
Practice Address - Country:US
Practice Address - Phone:916-780-4733
Practice Address - Fax:916-780-4753
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51214183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist