Provider Demographics
NPI:1952423386
Name:TRAN, WILLIAM (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
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 1:35 N KUKUI ST APT 1707
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4149
Mailing Address - Country:US
Mailing Address - Phone:808-432-2600
Mailing Address - Fax:
Practice Address - Street 1:35 N KUKUI ST APT 1707
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4149
Practice Address - Country:US
Practice Address - Phone:808-432-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH1505183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist