Provider Demographics
NPI:1104420371
Name:TRAN, ASHLEY LE (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LE
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:TRAN
Other - Last Name:DAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:2205 NAOMI ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3823
Mailing Address - Country:US
Mailing Address - Phone:832-704-8812
Mailing Address - Fax:
Practice Address - Street 1:4489 COUNTY ROAD 94
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578-3078
Practice Address - Country:US
Practice Address - Phone:281-692-9728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57065183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist