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NPI Code Detail

MEDICARE: DR. VINH THE TRA RPH

MEDICARE: DR. VINH THE TRA RPH
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
1183500000XPharmacist018540LA

General Provider Information

NPI Number : 1114232956
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINH THE TRA RPH
Provider Business Mailing Address
First Line : 2001 ONEAL LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-3204
Country : US
Telephone Number : 225-756-8536
Fax Number :
Provider Business Practice Location Address
First Line : 2001 ONEAL LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-3204
Country : US
Telephone Number : 225-756-8536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2010
Last Update Date : 08/17/2010

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Directions to “ DR. VINH THE TRA RPH” Practice Location

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