Individual
TIEN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
359 MAIN ST, SOUTHINGTON, CT 06489-4538
(860) 621-3729
Mailing address
359 MAIN ST, SOUTHINGTON, CT 06489-4538
(860) 621-3729
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PCT.0008828
CT
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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