Individual
HAI TRIEU TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 LITTLE RIVER TPKE, ALEXANDRIA, VA 22312-1700
(703) 370-0122
Mailing address
9571 5TH PL, LORTON, VA 22079-5022
(703) 909-8104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206450
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202206450
BOP
VA
Enumeration date
11/12/2020
Last updated
11/12/2020
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