Provider Demographics
NPI:1598047219
Name:TRAN, THANH-TRAN THI (RPH)
Entity Type:Individual
Prefix:
First Name:THANH-TRAN
Middle Name:THI
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 1:5004 W ESPLANADE AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2551
Mailing Address - Country:US
Mailing Address - Phone:504-888-9000
Mailing Address - Fax:504-888-7601
Practice Address - Street 1:5004 W ESPLANADE AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2551
Practice Address - Country:US
Practice Address - Phone:504-888-9000
Practice Address - Fax:504-888-7601
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA18322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist