Tran, Phu Trong

Tran, Phu Trong is an individual health care provider with primary practice located at 385 E Mill St Ste 14, San Bernardino CA 92408-1548. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tran, Phu Trong can be contacted via phone (909) 387-0932.

Contact Information

Primary practice address
385 E Mill St Ste 14 San Bernardino CA 92408-1548
Phone: (909) 387-0932
Fax: (909) 381-3592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHY37070 California

Profile Details

NPI number 1881683191
LBN Legal business name Tran, Phu Trong
Credentials RPH DPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881683191 NPPES
California MEDICAID PHA370700
California Other 0546931

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