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NPI Code Detail

MEDICARE: KRISTY TRAN PHARM.D

MEDICARE:   KRISTY  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
1183500000XPharmacist16201NV

General Provider Information

NPI Number : 1780049163
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY TRAN PHARM.D
Provider Business Mailing Address
First Line : 2120 CACTUS DESERT CT
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3172
Country : US
Telephone Number : 702-639-9002
Fax Number : 702-639-1632
Provider Business Practice Location Address
First Line : 5940 LOSEE RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-6591
Country : US
Telephone Number : 702-639-9002
Fax Number : 702-639-1632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2015
Last Update Date : 12/29/2015

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