Tran, Tho Dac

Tran, Tho Dac is an individual health care provider with primary practice located at 9433 Bolsa Ave Ste. B, Westminster CA 92683-5964. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tran, Tho Dac can be contacted via phone (714) 531-8770.

Contact Information

Primary practice address
9433 Bolsa Ave Ste. B Westminster CA 92683-5964
Fax: (714) 531-0552
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH42377 California

Profile Details

NPI number 1881686640
LBN Legal business name Tran, Tho Dac
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 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 1881686640 NPPES
Other 0509008 NABP#
MEDICAID PHA372040 NABP#

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