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NPI Code Detail

MEDICARE: THU TRANG L VAN PHARMACIST

MEDICARE: THU TRANG L VAN PHARMACIST
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist051.303354IL

General Provider Information

NPI Number : 1699378364
Entity Type Code : Individual
Provider Name (Legal Business Name) : THU TRANG L VAN PHARMACIST
Provider Business Mailing Address
First Line : 8117 OAK PARK AVE
Second Line :
City : BURBANK
State : IL
Zip : 60459-1653
Country : US
Telephone Number : 708-527-8447
Fax Number :
Provider Business Practice Location Address
First Line : 11000 S CICERO AVE
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-5504
Country : US
Telephone Number : 708-346-0726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2020
Last Update Date : 06/02/2026

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Directions to “ THU TRANG L VAN PHARMACIST” Practice Location

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