Individual
MAI TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3016 SW 136TH ST, OKLAHOMA CITY, OK 73170-5168
(405) 370-5588
Mailing address
3016 SW 136TH ST, OKLAHOMA CITY, OK 73170-5168
(405) 370-5588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16239
OK
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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