Tran Ly Chang
Pharmacist in Upland, CA. Individual provider (NPI-1).
NPI number1609415397
StatusActive
Last updated in NPPESDec 30, 2019
Details
- NPI
- 1609415397
- Entity type
- Individual (NPI-1)
- Name
- Tran Ly Chang
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 30, 2019
- Certification date
- Dec 30, 2019
- Last updated
- Dec 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 58227 | CA | Yes |
Practice location
100 W Foothill BlvdUpland, CA 91786-3847
Phone 909-982-8908
Mailing address
12942 McKinley AveChino, CA 91710-2919
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