Provider Demographics
NPI:1871870634
Name:TRAN, ANN NGUYEN (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:NGUYEN
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16411 WOODSTOCK LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3239
Mailing Address - Country:US
Mailing Address - Phone:714-931-5651
Mailing Address - Fax:
Practice Address - Street 1:2670 N MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-6639
Practice Address - Country:US
Practice Address - Phone:949-748-7521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52936183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist