Provider Demographics
NPI:1649592866
Name:TRAN, MINH QUANG (RPH)
Entity Type:Individual
Prefix:
First Name:MINH
Middle Name:QUANG
Last Name:TRAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2975 E SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-4114
Mailing Address - Country:US
Mailing Address - Phone:702-457-8325
Mailing Address - Fax:792-457-1418
Practice Address - Street 1:2975 E SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-4114
Practice Address - Country:US
Practice Address - Phone:702-457-8325
Practice Address - Fax:792-457-1418
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15683183500000X
MAPH22512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist