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NPI Code Detail

MEDICARE: THO N TRAN RPH

MEDICARE: THO N 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
1183500000XPharmacistRPH030313GA

General Provider Information

NPI Number : 1366046120
Entity Type Code : Individual
Provider Name (Legal Business Name) : THO N TRAN RPH
Provider Business Mailing Address
First Line : 4004 LAWRENCEVILLE HWY
Second Line :
City : TUCKER
State : GA
Zip : 30084-4622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1029 FOREST PKWY
Second Line :
City : FOREST PARK
State : GA
Zip : 30297-2350
Country : US
Telephone Number : 336-207-3609
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2020
Last Update Date : 06/02/2025

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Directions to “ THO N TRAN RPH” Practice Location

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