Provider Demographics
NPI:1750406526
Name:NGUYEN, ANNE LONG TRAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:LONG TRAN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13003 SE 305TH CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-3310
Mailing Address - Country:US
Mailing Address - Phone:253-735-1366
Mailing Address - Fax:
Practice Address - Street 1:743 RAINIER AVE S
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-3204
Practice Address - Country:US
Practice Address - Phone:425-227-0407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00055692183500000X
CA00055519183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist