Individual
THAO TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 E MAIN ST, NEW IBERIA, LA 70560-3920
(337) 365-8048
Mailing address
1104 E MAIN ST, NEW IBERIA, LA 70560-3920
(337) 365-8048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020189
LA
Other
Enumeration date
07/17/2013
Last updated
02/11/2014
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