Individual
ALEXANDRA TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1795 E CAPITOL EXPY, SAN JOSE, CA 95121-1561
(408) 238-5890
Mailing address
3747 GREYMONT DR, SAN JOSE, CA 95136-3902
(408) 238-5890
(408) 274-0563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA224330
STATE LICENSE
—
Enumeration date
09/22/2011
Last updated
09/22/2011
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