MEDICARE: DR. TRAN LE PHARMD

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	15445	MD

General Provider Information

NPI Number	:	1700769627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRAN LE PHARMD

Provider Business Mailing Address
First Line	:	1103 PARK ROYAL CT
Second Line	:
City	:	GREAT FALLS
State	:	VA
Zip	:	22066-1856
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1103 PARK ROYAL CT
Second Line	:
City	:	GREAT FALLS
State	:	VA
Zip	:	22066-1856
Country	:	US
Telephone Number	:	703-589-6505
Fax Number	:

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

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/29/2025

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