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NPI Code Detail

MEDICARE: LY TRAN

MEDICARE:   LY  TRAN
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
1183500000XPharmacistPS63637FL

General Provider Information

NPI Number : 1891434866
Entity Type Code : Individual
Provider Name (Legal Business Name) : LY TRAN
Provider Business Mailing Address
First Line : 10155 OKEECHOBEE BLVD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-1404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10155 OKEECHOBEE BLVD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-1404
Country : US
Telephone Number : 561-784-2734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2022
Last Update Date : 05/29/2022

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Directions to “ LY TRAN ” Practice Location

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