Individual
VAN TRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 TCHOUPITOULAS ST, NEW ORLEANS, LA 70130-1915
(504) 522-6959
Mailing address
229 BRETT DR, GRETNA, LA 70056-7211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020341
LA
Other
Enumeration date
09/20/2013
Last updated
03/25/2016
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