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Individual

QUYNH ANH HONG TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
5700 ARNOLD ST, TINKER AFB, OK 73145-8105
(405) 736-2222
Mailing address
5700 ARNOLD ST, TINKER AFB, OK 73145-8105
(405) 736-2222

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2010035374
MO
390200000X
Student in an Organized Health Care Education/Training Program
2008004260
MO
390200000X
Student in an Organized Health Care Education/Training Program
3-05834
KS
390200000X
Student in an Organized Health Care Education/Training Program
INT23972
CA

Other

Enumeration date
01/08/2010
Last updated
10/14/2010
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