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NPI Code Detail

MEDICARE: NGA THANH TRAN RPH

MEDICARE:   NGA THANH TRAN  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
1183500000XPharmacist14992NV
2183500000XPharmacist16019CO
3183500000XPharmacistPH00060413WA

General Provider Information

NPI Number : 1407048556
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGA THANH TRAN RPH
Provider Business Mailing Address
First Line : 10654 PUEBLO SPRINGS ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-4684
Country : US
Telephone Number : 310-387-2150
Fax Number :
Provider Business Practice Location Address
First Line : 10654 PUEBLO SPRINGS ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-4684
Country : US
Telephone Number : 310-387-2150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 08/14/2007

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Directions to “ NGA THANH TRAN RPH” Practice Location

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