Provider Demographics
NPI:1689911497
Name:TRAN, LARRY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:
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 1:1406 ORANGE AVE.
Mailing Address - Street 2:55
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373
Mailing Address - Country:US
Mailing Address - Phone:805-300-4527
Mailing Address - Fax:
Practice Address - Street 1:1460 ORANGE AVE
Practice Address - Street 2:55
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5496
Practice Address - Country:US
Practice Address - Phone:805-300-4527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist