Individual
CONG TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9350 CORTANA PL, BATON ROUGE, LA 70815-8603
(225) 927-0114
Mailing address
9350 CORTANA PL, BATON ROUGE, LA 70815-8603
(225) 927-0114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019478
LA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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