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NPI Code Detail

MEDICARE: TUYET MAI TRAN

MEDICARE: TUYET MAI TRAN
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
1183500000XPharmacist023165LA

General Provider Information

NPI Number : 1134764178
Entity Type Code : Individual
Provider Name (Legal Business Name) : TUYET MAI TRAN
Provider Business Mailing Address
First Line : 100 MEDICAL CENTER DR
Second Line :
City : SLIDELL
State : LA
Zip : 70461-5520
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 MEDICAL CENTER DR
Second Line :
City : SLIDELL
State : LA
Zip : 70461-5520
Country : US
Telephone Number : 985-646-5095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2019
Last Update Date : 04/18/2026

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Directions to “ TUYET MAI TRAN ” Practice Location

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