Individual
MRS. PHUNG KIM TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 W AIRLINE HWY, LA PLACE, LA 70068-3331
(985) 652-8781
Mailing address
1616 W AIRLINE HWY, LA PLACE, LA 70068-3331
(985) 652-8781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.019463
LA
Other
Enumeration date
08/13/2014
Last updated
09/29/2014
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