Individual
PHUNG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11506 S 4000 W, SOUTH JORDAN, UT 84009-6070
(801) 446-9995
Mailing address
11506 S 4000 W, SOUTH JORDAN, UT 84009-6070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12402315-1701
UT
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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