MEDICARE: TANG 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
1	183500000X	Pharmacist	047713	NY

General Provider Information

NPI Number	:	1679896369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANG TRAN RPH

Provider Business Mailing Address
First Line	:	3575 BOSTON RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-2518
Country	:	US
Telephone Number	:	347-601-4018
Fax Number	:	347-601-4021

Provider Business Practice Location Address
First Line	:	3575 BOSTON RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-2518
Country	:	US
Telephone Number	:	347-601-4018
Fax Number	:	347-601-4021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2010
Last Update Date	:	03/09/2010

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Directions to “ TANG TRAN RPH” Practice Location

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