Individual
DUSTIN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6215
Mailing address
4836 E WHISPERING LN, FLAGSTAFF, AZ 86004-7518
(857) 222-6799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013143
OR
Other
Enumeration date
10/17/2012
Last updated
09/23/2013
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