Individual
THANH THY THI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1201 NW 12TH ST, MOORE, OK 73170-1220
(405) 799-2244
Mailing address
8800 S DREXEL AVE APT 2002, OKLAHOMA CITY, OK 73159-6464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17703
OK
Other
Enumeration date
11/04/2017
Last updated
11/04/2017
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