MEDICARE: DR. DAVID VU TRAN 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	16729	NV

General Provider Information

NPI Number	:	1912943572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID VU TRAN PHARMD

Provider Business Mailing Address
First Line	:	11082 SCOTSCRAIG CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-4333
Country	:	US
Telephone Number	:	702-810-7868
Fax Number	:

Provider Business Practice Location Address
First Line	:	11082 SCOTSCRAIG CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-4333
Country	:	US
Telephone Number	:	702-810-7868
Fax Number	:

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	07/08/2007

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