Individual
TRAM PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14241 COURSEY BLVD, BATON ROUGE, LA 70817-1368
(225) 752-7949
(225) 752-7932
Mailing address
14241 COURSEY BLVD, BATON ROUGE, LA 70817-1368
(225) 752-7949
(225) 752-7932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17304
LA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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