Provider Demographics
NPI:1245648286
Name:TRANNGUYEN, TUAN N (PHARMD)
Entity type:Individual
Prefix:MR
First Name:TUAN
Middle Name:N
Last Name:TRANNGUYEN
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 1:5821 ANTELOPE RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95842-3902
Mailing Address - Country:US
Mailing Address - Phone:916-729-6236
Mailing Address - Fax:916-729-6248
Practice Address - Street 1:5821 ANTELOPE RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95842-3902
Practice Address - Country:US
Practice Address - Phone:916-729-6236
Practice Address - Fax:916-729-6248
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67374183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist