Provider Demographics
NPI:1578858619
Name:TRUONG, HAO (PHARMD)
Entity Type:Individual
Prefix:
First Name:HAO
Middle Name:
Last Name:TRUONG
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 1:11000 STOCKDALE HWY
Mailing Address - Street 2:T-2715
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3635
Mailing Address - Country:US
Mailing Address - Phone:661-617-3658
Mailing Address - Fax:661-617-3668
Practice Address - Street 1:11000 STOCKDALE HWY
Practice Address - Street 2:T-2715
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3635
Practice Address - Country:US
Practice Address - Phone:661-617-3658
Practice Address - Fax:661-617-3668
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56485183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist