Provider Demographics
NPI:1124885363
Name:VUONG, MARRY TRAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARRY
Middle Name:TRAN
Last Name:VUONG
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MARRY
Other - Middle Name:TRAN
Other - Last Name:VUONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:18036 SW 145TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-3330
Mailing Address - Country:US
Mailing Address - Phone:305-972-3251
Mailing Address - Fax:
Practice Address - Street 1:18036 SW 145TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-3330
Practice Address - Country:US
Practice Address - Phone:305-972-3251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS578121835P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0200XPharmacy Service ProvidersPharmacistPediatrics