Individual ProviderTrung Hoang NguyenPharmacistPharmacy Service ProvidersPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809(707) 816-5671PECOS EnrollmentBased on the most recent information from CMS, provider Trung Hoang Nguyen 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 yesterday at 11:10 AM.Profile DetailsProvider ID1538701198Provider TypeIndividualFull NameNguyen, Trung HoangCredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date10/15/2019Last Updated4/7/2022Contact InformationPractice LocationPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(707) 816-5671FaxUnlisted FaxMailing LocationMailing Address101 Bodin Cir, Travis Afb, CA 94535-1809PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense80644California