Individual
THAO TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 COLLEGE DR, OSCEOLA, IA 50213-8235
(641) 342-1662
Mailing address
12609 WINSTON AVE, URBANDALE, IA 50323-2381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20618
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20618
STATE LICENSE
IA
Enumeration date
06/07/2020
Last updated
06/07/2020
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