Healthcare Provider Details

I. General information

NPI: 1811550445
Provider Name (Legal Business Name): TRAM ANH HOAI NGUYEN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2019
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 WAYZATA BLVD STE 450
MINNEAPOLIS MN
55416-0018
US

IV. Provider business mailing address

893 S MEADOW DR
BOUND BROOK NJ
08805-1400
US

V. Phone/Fax

Practice location:
  • Phone: 844-841-9725
  • Fax:
Mailing address:
  • Phone: 469-531-0937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04293400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: