Tran, Beatle Thien-Phuoc

Tran, Beatle Thien-Phuoc is an sole proprietor health care provider with primary practice located at 1029 Jefferson Blvd Suite A, West Sacramento CA 95691-3344. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is his primary health care specialty. Tran, Beatle Thien-Phuoc can be contacted via phone (916) 371-2022.

Contact Information

Primary practice address
1029 Jefferson Blvd Suite A West Sacramento CA 95691-3344
Phone: (916) 371-2022
Fax: (916) 371-2027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH 50909 California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5527150001 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY 470830 California

Profile Details

NPI number 1821081910
LBN Legal business name Tran, Beatle Thien-Phuoc
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821081910 NPPES
California MEDICAID PHA 470830
California Other RPH 50909
California Other PHY 47083
California Other 0550017

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