Provider Demographics
NPI:1780949487
Name:TRAN, HIEN Q (PHARM D)
Entity type:Individual
Prefix:MR
First Name:HIEN
Middle Name:Q
Last Name:TRAN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2968 S 298TH ST
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-3365
Mailing Address - Country:US
Mailing Address - Phone:206-920-1096
Mailing Address - Fax:253-403-1615
Practice Address - Street 1:315 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4234
Practice Address - Country:US
Practice Address - Phone:253-403-3687
Practice Address - Fax:253-403-1615
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00040589183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist