Provider Demographics
NPI:1235610171
Name:TRAN, JAME QUOC (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAME
Middle Name:QUOC
Last Name:TRAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:QUOC
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:19390 CORTEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-3041
Mailing Address - Country:US
Mailing Address - Phone:352-796-2928
Mailing Address - Fax:
Practice Address - Street 1:19390 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-3041
Practice Address - Country:US
Practice Address - Phone:352-796-2928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS58133183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist