Provider Demographics
NPI:1578209706
Name:TRAN, CHRISTINE THUY PHUONG TRINH (RPH)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:THUY PHUONG TRINH
Last Name:TRAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 PLYMOUTH PL
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-7131
Mailing Address - Country:US
Mailing Address - Phone:504-398-1969
Mailing Address - Fax:
Practice Address - Street 1:3501 SEVERN AVE STE 3A
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3459
Practice Address - Country:US
Practice Address - Phone:504-875-2330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST024310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist