Organization
AN CUONG LLC
Active
Other names
Tien's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AN N TRAN RPH (PHARMACIST)
(504) 254-9034
Entity
Organization
Contact information
Practice address
4623 ALCEE FORTIER BLVD, NEW ORLEANS, LA 70129-2140
(504) 254-9034
(504) 254-5028
Mailing address
PO BOX 29636, NEW ORLEANS, LA 70189-0636
(504) 254-9034
(504) 254-5028
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1269182
—
LA
Enumeration date
11/29/2006
Last updated
03/04/2009
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