Provider Demographics
NPI:1922382993
Name:TRUONG, CINDY (PHARM D)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:TRUONG
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 1:6632 ARROW HILL ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-2082
Mailing Address - Country:US
Mailing Address - Phone:702-399-6879
Mailing Address - Fax:702-399-6870
Practice Address - Street 1:6632 ARROW HILL ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084
Practice Address - Country:US
Practice Address - Phone:702-399-6870
Practice Address - Fax:702-399-6870
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16973183500000X
TX45092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist