Provider Demographics
NPI:1184099467
Name:TRINH, HUNG CHAN (PHARMD)
Entity type:Individual
Prefix:
First Name:HUNG
Middle Name:CHAN
Last Name:TRINH
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 1:3575 W BARSTOW AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-6679
Mailing Address - Country:US
Mailing Address - Phone:707-803-8818
Mailing Address - Fax:
Practice Address - Street 1:3575 W BARSTOW AVE
Practice Address - Street 2:APT 211
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-6677
Practice Address - Country:US
Practice Address - Phone:707-803-8818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-11
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 72306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist