Thao Phuong Thu Tran

NPI #1124739438 in Rockford, Illinois

Provider Information

NPI Number
1124739438
Entity Type
Individual
Name
Thao Phuong Thu Tran
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Dec 7, 2022
Last Updated
Dec 7, 2022

Practice Location

Address
1145 N ALPINE RD
ZIP Code
61107-3613
Phone
(815) 398-2443

Specialties & Taxonomy Codes

Specialty
Pharmacist

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