Healthcare Provider Details

I. General information

NPI: 1366363814
Provider Name (Legal Business Name): THANH VIET TRAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4027 HOYT AVE
EVERETT WA
98201-4920
US

IV. Provider business mailing address

14308 LENORA PL N
SEATTLE WA
98133-7008
US

V. Phone/Fax

Practice location:
  • Phone: 425-259-0966
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHRM.PH.70133032
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: