Individual
KATHY PHAM TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 W LAKESIDE PL, APT 1507, CHICAGO, IL 60640-5175
(773) 769-1104
Mailing address
920 W LAKESIDE PL, APT 1507, CHICAGO, IL 60640-5175
(773) 769-1104
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049144416
IL
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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