Individual
MS. MYHOA THI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3100 S HULEN ST, FORT WORTH, TX 76109-1925
(817) 570-2950
Mailing address
3000 S HULEN ST, FORT WORTH, TX 76109-1929
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
70661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70661
PHARMACY LICENSE
—
Enumeration date
08/24/2022
Last updated
08/24/2022
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