Provider Demographics
NPI:1780007583
Name:TRAN, HANH
Entity Type:Individual
Prefix:
First Name:HANH
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 WESTBANK EXPY
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053-3663
Mailing Address - Country:US
Mailing Address - Phone:504-249-7147
Mailing Address - Fax:504-249-7142
Practice Address - Street 1:99 WESTBANK EXPY
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-3663
Practice Address - Country:US
Practice Address - Phone:504-249-7147
Practice Address - Fax:504-249-7142
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2020-12-16
Deactivation Date:2020-11-03
Deactivation Code:
Reactivation Date:2020-11-10
Provider Licenses
StateLicense IDTaxonomies
LA16909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist