Provider Demographics
NPI:1134474547
Name:TRANG, ALEXANDER MINH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:MINH
Last Name:TRANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4921 GAINSBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-2317
Mailing Address - Country:US
Mailing Address - Phone:703-772-9272
Mailing Address - Fax:
Practice Address - Street 1:10980 FAIRFAX BLVD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4329
Practice Address - Country:US
Practice Address - Phone:703-259-6168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202211585183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist