Provider Demographics
NPI:1457951121
Name:TRAN, TRANG THU (PHARM-D)
Entity type:Individual
Prefix:DR
First Name:TRANG
Middle Name:THU
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7196 WHITE BLOOM AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-4058
Mailing Address - Country:US
Mailing Address - Phone:702-270-2523
Mailing Address - Fax:702-270-2845
Practice Address - Street 1:7200 ARROYO CROSSING PARKWAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113
Practice Address - Country:US
Practice Address - Phone:702-270-2523
Practice Address - Fax:702-270-2845
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15163183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist