Individual
KEVIN TUAN TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
520 E BASELINE RD, PHOENIX, AZ 85042-6554
(602) 243-3014
Mailing address
520 E BASELINE RD, ATTENTION: PHARMACY, PHOENIX, AZ 85042-6554
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S011475
AZ
Other
Enumeration date
06/25/2013
Last updated
12/15/2016
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