Individual ProviderStephanie TruongPharmacistPharmacy Service ProvidersPractice Address505 Parnassus Ave, San Francisco, CA 94143-2204(310) 406-7649PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Truong does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1124518006Provider TypeIndividualFull NameTruong, StephanieCredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date5/16/2018Last Updated5/16/2018Contact InformationPractice LocationPractice Address505 Parnassus Ave, San Francisco, CA 94143-2204Phone(310) 406-7649FaxUnlisted FaxMailing LocationMailing Address2817 Fisk Ln, Redondo Beach, CA 90278-5435PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense76836California