Provider Demographics
NPI:1407184039
Name:TRAN, CHELSEA HANH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:HANH
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4208 SW GREEN OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-4111
Mailing Address - Country:US
Mailing Address - Phone:817-483-8368
Mailing Address - Fax:817-483-6488
Practice Address - Street 1:4208 SW GREEN OAKS BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-4111
Practice Address - Country:US
Practice Address - Phone:817-483-8368
Practice Address - Fax:817-483-6488
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist