MEDICARE: SON TRAN PHARM D.

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	16609	AL

General Provider Information

NPI Number	:	1639506132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SON TRAN PHARM D.

Provider Business Mailing Address
First Line	:	3951 SPRING LANDING CT
Second Line	:
City	:	THEODORE
State	:	AL
Zip	:	36582-2528
Country	:	US
Telephone Number	:	251-209-5294
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 BEL AIR MALL
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36606-3206
Country	:	US
Telephone Number	:	251-471-9768
Fax Number	:

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

Provider Enumeration Date	:	09/30/2013
Last Update Date	:	09/30/2013

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Directions to “ SON TRAN PHARM D.” Practice Location

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