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NPI Code Detail

MEDICARE: MANDY TRAN

MEDICARE: MANDY 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
1183500000XPharmacist40691TX

General Provider Information

NPI Number : 1093365652
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANDY TRAN
Provider Business Mailing Address
First Line : 3405 WESTCLARKE DR
Second Line :
City : PLANO
State : TX
Zip : 75093-7976
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10530 JOHN W ELLIOTT DR STE 200
Second Line :
City : FRISCO
State : TX
Zip : 75033-2014
Country : US
Telephone Number : 800-424-9002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2019
Last Update Date : 09/16/2019

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Directions to “ MANDY TRAN ” Practice Location

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