Tran Ly Chang

NPI #1609415397 in Upland, California

Provider Information

NPI Number: 1609415397
Entity Type: Individual
Name: Tran Ly Chang
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 30, 2019
Last Updated: Dec 30, 2019

Practice Location

Address: 100 W FOOTHILL BLVD
City: Upland
State: California
ZIP Code: 91786-3847
Phone: (909) 982-8908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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