Individual
THANH TOAN TRAN THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4760 LIBERTY RD S, SALEM, OR 97302-5037
(503) 428-5098
Mailing address
4760 LIBERTY RD S, SALEM, OR 97302-5037
(503) 428-5098
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013733
OR
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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