Provider Demographics
NPI:1710421938
Name:TRAN, QUYNH HOA NGUYEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:QUYNH HOA
Middle Name:NGUYEN
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 SE 240TH ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-4895
Mailing Address - Country:US
Mailing Address - Phone:253-859-5533
Mailing Address - Fax:253-859-5541
Practice Address - Street 1:10201 SE 240TH ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-4895
Practice Address - Country:US
Practice Address - Phone:253-859-5533
Practice Address - Fax:253-859-5541
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-07
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0015642183500000X
WAPH606991271835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist