MEDICARE: MS. ANNA NGAN 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	18018	LA

General Provider Information

NPI Number	:	1801104211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNA NGAN TRAN PHARM.D.

Provider Business Mailing Address
First Line	:	13011 HIGHWAY 73
Second Line	:
City	:	GEISMAR
State	:	LA
Zip	:	70734-3021
Country	:	US
Telephone Number	:	225-677-5070
Fax Number	:

Provider Business Practice Location Address
First Line	:	13011 HIGHWAY 73
Second Line	:
City	:	GEISMAR
State	:	LA
Zip	:	70734-3021
Country	:	US
Telephone Number	:	225-677-5070
Fax Number	:

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

Provider Enumeration Date	:	09/20/2010
Last Update Date	:	11/21/2022

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