Provider Demographics
NPI:1821365909
Name:TRAN, ADRIENE DAO (PHARM D)
Entity Type:Individual
Prefix:
First Name:ADRIENE
Middle Name:DAO
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 1:139 HAYDEN WAY
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-2326
Mailing Address - Country:US
Mailing Address - Phone:714-504-2068
Mailing Address - Fax:
Practice Address - Street 1:795 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-1223
Practice Address - Country:US
Practice Address - Phone:909-624-3017
Practice Address - Fax:909-624-8068
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58014183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist