Individual
HA TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13503 S SANTA FE AVE, OKLAHOMA CITY, OK 73170-7314
(405) 300-6418
Mailing address
13503 S SANTA FE AVE, OKLAHOMA CITY, OK 73170-7314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15143
OK
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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