Provider Demographics
NPI:1013564376
Name:TRAN, BICH HANG THI (MBA, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BICH HANG
Middle Name:THI
Last Name:TRAN
Suffix:
Gender:F
Credentials:MBA, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1551
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-0027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1855 HUDSON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-5000
Practice Address - Country:US
Practice Address - Phone:678-565-0648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2022-04-17
Deactivation Date:2020-02-15
Deactivation Code:
Reactivation Date:2020-08-21
Provider Licenses
StateLicense IDTaxonomies
GARPH030938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist