Provider Demographics
NPI:1831517523
Name:TRAN, JEFFREY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
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 1:18436 BROOKHURST ST
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6706
Mailing Address - Country:US
Mailing Address - Phone:714-465-9410
Mailing Address - Fax:714-274-9650
Practice Address - Street 1:18436 BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6706
Practice Address - Country:US
Practice Address - Phone:714-465-9410
Practice Address - Fax:714-274-9650
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA71161183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist