Provider Demographics
NPI:1245944750
Name:TRAN, ANTHONY MINH (PHARMD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:MINH
Last Name:TRAN
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8595 W WARM SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3625
Mailing Address - Country:US
Mailing Address - Phone:702-262-6456
Mailing Address - Fax:702-262-9767
Practice Address - Street 1:8595 W WARM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3625
Practice Address - Country:US
Practice Address - Phone:702-262-6456
Practice Address - Fax:702-262-9767
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist