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NPI Code Detail

MEDICARE: VINCENT TRAN PHARMD

MEDICARE: VINCENT TRAN PHARMD
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
11835I0206XInfectious Diseases Pharmacist070926CA

General Provider Information

NPI Number : 1386499051
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT TRAN PHARMD
Provider Business Mailing Address
First Line : 833 ABBOT AVE
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91776-2306
Country : US
Telephone Number : 323-382-4838
Fax Number :
Provider Business Practice Location Address
First Line : 121 DEKALB AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5493
Country : US
Telephone Number : 718-250-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2024
Last Update Date : 04/17/2024

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