Tran, Beatle Thien-Phuoc
Tran, Beatle Thien-Phuoc is an sole proprietor health care provider with primary practice located at 1029 Jefferson Blvd Suite A, West Sacramento CA 95691-3344. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is his primary health care specialty. Tran, Beatle Thien-Phuoc can be contacted via phone (916) 371-2022.Contact Information
Primary practice address
1029 Jefferson Blvd Suite A
West Sacramento CA 95691-3344
Phone: (916) 371-2022
Fax: (916) 371-2027
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | RPH 50909 | California |
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 5527150001 | California |
Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY 470830 | California |
Profile Details
NPI number | 1821081910 |
---|---|
LBN Legal business name | Tran, Beatle Thien-Phuoc |
Credentials | PHARMD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 24th, 2005 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821081910 | NPPES |
California | MEDICAID | PHA 470830 | |
California | Other | RPH 50909 | |
California | Other | PHY 47083 | |
California | Other | 0550017 |
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