Provider Demographics
NPI:1952125171
Name:TRAN, ANH YEN
Entity type:Individual
Prefix:
First Name:ANH
Middle Name:YEN
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1278 W 8600 S
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-8407
Mailing Address - Country:US
Mailing Address - Phone:801-865-1437
Mailing Address - Fax:
Practice Address - Street 1:1750 W TRAVERSE PKWY
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-5978
Practice Address - Country:US
Practice Address - Phone:385-352-8018
Practice Address - Fax:385-352-8019
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT73814801701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist