Individual
AMY TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12427 CANAL DR UNIT 1, RANCHO CUCAMONGA, CA 91739-7524
(505) 730-4420
Mailing address
12427 CANAL DR UNIT 1, RANCHO CUCAMONGA, CA 91739-7524
(505) 730-4420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
68738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68738
—
CA
Enumeration date
05/19/2019
Last updated
05/19/2019
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