Individual
STAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
69630 STIRLING BLVD, COVINGTON, LA 70433-4620
(985) 327-6261
Mailing address
69630 STIRLING BLVD, COVINGTON, LA 70433-4620
(985) 327-6261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.018925
LA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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