Provider Demographics
NPI:1700142775
Name:TRAN, AMY K (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:K
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KHOA
Other - Middle Name:DANG
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34780 PETTIBONE RD
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5026
Mailing Address - Country:US
Mailing Address - Phone:626-588-8499
Mailing Address - Fax:
Practice Address - Street 1:25105 CEDAR RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44124-3782
Practice Address - Country:US
Practice Address - Phone:216-920-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019023183500000X
OH03234158183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist