Provider Demographics
NPI:1851688642
Name:TRAN, MINHTRANG HOA (PHARMD)
Entity Type:Individual
Prefix:
First Name:MINHTRANG
Middle Name:HOA
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 1:12300 SEAL BEACH BLVD
Mailing Address - Street 2:TARGET T-1328
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-2709
Mailing Address - Country:US
Mailing Address - Phone:562-596-1775
Mailing Address - Fax:562-596-1775
Practice Address - Street 1:12300 SEAL BEACH BLVD
Practice Address - Street 2:TARGET T-1328
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-2709
Practice Address - Country:US
Practice Address - Phone:562-596-1775
Practice Address - Fax:562-596-1775
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57881183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist