Provider Demographics
NPI:1326428574
Name:SIMMONS, TRAM NHUTHANH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TRAM
Middle Name:NHUTHANH
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:TRAM
Other - Middle Name:NHUTHANH
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:10706 CYPRESS TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-5035
Mailing Address - Country:US
Mailing Address - Phone:407-437-1404
Mailing Address - Fax:
Practice Address - Street 1:10706 CYPRESS TRAIL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-5035
Practice Address - Country:US
Practice Address - Phone:407-437-1404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 453181835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist