Most Relevant Information
Provider Data
| NPI Number: | 1003414012 |
| Provider Name: | TRUNG BA NGO PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 70018 |
Most Important Dates
| Enumeration Date: | 10/12/2020 |
| Last Updated: | 10/12/2020 |
Provider Practice Location
1569 LEXANN AVE STE 130
SAN JOSE
CA
951211794
Practice Location Phone/Fax
| Phone: | 4082702828 |
| Fax: |
Provider Mailing Location
2533 ABED CT
SAN JOSE
CA
951163701
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |