Individual
KIM NGOC THI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2950 COLLEGE DR, BATON ROUGE, LA 70808-3203
(225) 924-6094
Mailing address
1467 MARILYN DR, BATON ROUGE, LA 70815-4933
(225) 610-3597
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021203
LA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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