Individual
JACKIE TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-6180
(410) 955-6150
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-6180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21553
MD
Other
Enumeration date
06/19/2013
Last updated
09/22/2014
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