Provider Demographics
NPI:1255749768
Name:TRAN, BINH (PHARMD)
Entity type:Individual
Prefix:
First Name:BINH
Middle Name:
Last Name:TRAN
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 1:39940 10TH ST W
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-3002
Mailing Address - Country:US
Mailing Address - Phone:661-575-9289
Mailing Address - Fax:661-575-9533
Practice Address - Street 1:39940 10TH ST W
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-3002
Practice Address - Country:US
Practice Address - Phone:661-575-9289
Practice Address - Fax:661-575-9533
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV09540183500000X
CA41093183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist