Individual
TONY TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13210 E BRIDLEWOOD CT, WICHITA, KS 67230-1797
(316) 636-9334
Mailing address
9525 E 21ST ST N, WICHITA, KS 67206-2946
(316) 636-9334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14121
KS
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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