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NPI Code Detail

MEDICARE: ASHLEY TRAN

MEDICARE: ASHLEY TRAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist19989NV

General Provider Information

NPI Number : 1013491976
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY TRAN
Provider Business Mailing Address
First Line : 5881 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89142-1010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5881 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89142-1010
Country : US
Telephone Number : 702-457-1503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2018
Last Update Date : 09/17/2018

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Directions to “ ASHLEY TRAN ” Practice Location

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