Individual
KELLY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2522 BROADWAY N, FARGO, ND 58102-1405
(701) 235-5543
Mailing address
1736 12TH ST E, WEST FARGO, ND 58078-4306
(701) 630-2357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6441
ND
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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