Individual
MRS. THIEN-THAO TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
1621 S DIVISION ST, GUTHRIE, OK 73044-5020
(405) 260-1574
Mailing address
2305 NW 176TH ST, EDMOND, OK 73012-7125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14357
OK
Other
Enumeration date
10/16/2011
Last updated
10/16/2011
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