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NPI Code Detail

MEDICARE: KELLY A TRAN RPH

MEDICARE:   KELLY A TRAN  RPH
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
1183500000XPharmacistRPH84559CA

General Provider Information

NPI Number : 1154041416
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY A TRAN RPH
Provider Business Mailing Address
First Line : 32 SHADY LN
Second Line :
City : IRVINE
State : CA
Zip : 92603-0128
Country : US
Telephone Number : 714-925-3666
Fax Number :
Provider Business Practice Location Address
First Line : 23101 SHERMAN PL STE 101
Second Line :
City : WEST HILLS
State : CA
Zip : 91307-2008
Country : US
Telephone Number : 818-340-0212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2022
Last Update Date : 08/29/2022

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Directions to “ KELLY A TRAN RPH” Practice Location

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