Provider Demographics
NPI:1336574235
Name:NHAN, TRAM QUYNH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TRAM
Middle Name:QUYNH
Last Name:NHAN
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 1:291 BRYANT CMN APT 204
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5283
Mailing Address - Country:US
Mailing Address - Phone:510-468-6440
Mailing Address - Fax:
Practice Address - Street 1:1871 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4106
Practice Address - Country:US
Practice Address - Phone:925-979-0095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67506183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist