Most Relevant Information
Provider Data
| NPI Number: | 1003391632 |
| Provider Name: | TRAN PHAM PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 79450 |
Most Important Dates
| Enumeration Date: | 09/29/2018 |
| Last Updated: | 09/29/2018 |
Provider Practice Location
1322 W 6TH ST
CORONA
CA
928823167
Practice Location Phone/Fax
| Phone: | 9518178636 |
| Fax: |
Provider Mailing Location
PO BOX 5203
NORCO
CA
928608007
Provider Mailing Phone/Fax
| Phone: | 3233372850 |
| Fax: |