Provider Demographics
NPI:1558644724
Name:TRAN, TUAN MINH (PHARMD)
Entity Type:Individual
Prefix:
First Name:TUAN
Middle Name:MINH
Last Name:TRAN
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 1:10551 GULF BLVD
Mailing Address - Street 2:
Mailing Address - City:TREASURE ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33706-4816
Mailing Address - Country:US
Mailing Address - Phone:727-367-7028
Mailing Address - Fax:727-360-3318
Practice Address - Street 1:10551 GULF BLVD
Practice Address - Street 2:
Practice Address - City:TREASURE ISLAND
Practice Address - State:FL
Practice Address - Zip Code:33706-4816
Practice Address - Country:US
Practice Address - Phone:727-367-7028
Practice Address - Fax:727-360-3318
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist