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Individual

MICHAEL TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7255
Mailing address
113 SW 167TH ST, OKLAHOMA CITY, OK 73170-6724
(405) 414-2818

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18462
OK

Other

Enumeration date
11/14/2020
Last updated
11/14/2020
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