Individual
TAM TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2015 W FOXWOOD DR, RAYMORE, MO 64083-9380
(816) 331-2975
Mailing address
13908 BRADSHAW ST, OVERLAND PARK, KS 66221-2872
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021032300
MO
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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