Individual
DUC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4410 N 99TH AVE APT 1095, PHOENIX, AZ 85037-5934
(860) 656-4850
Mailing address
4410 N 99TH AVE APT 1095, PHOENIX, AZ 85037-5934
(860) 656-4850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021692
AZ
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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