Provider Demographics
NPI:1255576948
Name:TRANG PHARMACY INC
Entity type:Organization
Organization Name:TRANG PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:THUTRANG
Authorized Official - Middle Name:LE
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-799-7979
Mailing Address - Street 1:456 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-1227
Mailing Address - Country:US
Mailing Address - Phone:508-799-7979
Mailing Address - Fax:508-799-7996
Practice Address - Street 1:456 PARK AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-1227
Practice Address - Country:US
Practice Address - Phone:508-799-7979
Practice Address - Fax:508-799-7996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0416231Medicaid
MA1740453323OtherNPI PHARMACY
MA6143020001Medicare NSC