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Individual

MR. DAT THANH TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S. PHARMACY

Contact information

Practice address
2401 CLEANLEIGH DR, PARKVILLE, MD 21234-6808
(410) 668-0980
(410) 668-1599
Mailing address
1704 FALLSTON RD, FALLSTON, MD 21047-1415
(443) 455-0410

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI02184800
NJ
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
12735
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12735
PHARMACIST REGISTRATION N
MD
01
28RI02184800
PHARMACIST REGISTRATION N
MD
Enumeration date
02/11/2008
Last updated
06/14/2019
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