Individual
THANH NGOC DANG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6651 W FRANKLIN RD, BOISE, ID 83709-0914
(208) 489-9800
Mailing address
4909 N ELSINORE AVE APT N302, MERIDIAN, ID 83646-6979
(541) 740-2285
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10463
ID
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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