MEDICARE: AN NGOC 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
1	183500000X	Pharmacist	014637	LA

General Provider Information

NPI Number	:	1437792751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AN NGOC TRAN RPH

Provider Business Mailing Address
First Line	:	PO BOX 29636
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70189-0636
Country	:	US
Telephone Number	:	504-254-9034
Fax Number	:

Provider Business Practice Location Address
First Line	:	4623 ALCEE FORTIER BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70129-2140
Country	:	US
Telephone Number	:	504-254-9034
Fax Number	:	504-254-5028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2019
Last Update Date	:	10/18/2019

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Directions to “ AN NGOC TRAN RPH” Practice Location

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