Provider Demographics
NPI:1548555261
Name:VU, TRANG T (PHARM D)
Entity type:Individual
Prefix:MISS
First Name:TRANG
Middle Name:T
Last Name:VU
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 1:1894 VOLLMER WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-3454
Mailing Address - Country:US
Mailing Address - Phone:408-209-0533
Mailing Address - Fax:
Practice Address - Street 1:1988 FREEDOM BLVD
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:CA
Practice Address - Zip Code:95019-2837
Practice Address - Country:US
Practice Address - Phone:831-724-5104
Practice Address - Fax:831-724-3746
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56559183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist