Provider Demographics
NPI:1912943572
Name:TRAN, DAVID VU (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:VU
Last Name:TRAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11082 SCOTSCRAIG CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-4333
Mailing Address - Country:US
Mailing Address - Phone:702-810-7868
Mailing Address - Fax:
Practice Address - Street 1:11082 SCOTSCRAIG CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-4333
Practice Address - Country:US
Practice Address - Phone:702-810-7868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16729183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist