Provider Demographics
NPI:1124332713
Name:TRAN, HONG THAM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HONG
Middle Name:THAM
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4704 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-1905
Mailing Address - Country:US
Mailing Address - Phone:504-301-2900
Mailing Address - Fax:504-266-2500
Practice Address - Street 1:4704 4TH ST
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-1905
Practice Address - Country:US
Practice Address - Phone:504-301-2900
Practice Address - Fax:504-266-2500
Is Sole Proprietor?:No
Enumeration Date:2010-08-06
Last Update Date:2022-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2132067Medicaid