Healthcare Provider Details

I. General information

NPI: 1598399149
Provider Name (Legal Business Name): QUANG TRAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2020
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 W CENTRAL AVE
SPRINGBORO OH
45066-1111
US

IV. Provider business mailing address

5328 MOELLER AVE
CINCINNATI OH
45212-1616
US

V. Phone/Fax

Practice location:
  • Phone: 513-478-4835
  • Fax:
Mailing address:
  • Phone: 513-478-4835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03136042
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: