Individual
BRYAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6130 JOHNSTON ST, LAFAYETTE, LA 70503-5619
(630) 962-0021
Mailing address
221 VEROT SCHOOL RD, APT 433, LAFAYETTE, LA 70508-3994
(630) 962-0021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.020988
LA
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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