Individual
PHUC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
55 PARK ST, NEW HAVEN, CT 06511-5474
(717) 645-9935
Mailing address
110 HUNTINGTON AVE APT 1, NEW HAVEN, CT 06512-2653
(717) 914-8315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24528
MD
Other
Enumeration date
10/11/2016
Last updated
10/28/2019
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