Provider Demographics
NPI:1154699478
Name:TRAN, THUY XUAN (PHARMD)
Entity type:Individual
Prefix:
First Name:THUY
Middle Name:XUAN
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 1:900 N 3RD ST
Mailing Address - Street 2:UNIT 900 A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-2206
Mailing Address - Country:US
Mailing Address - Phone:215-915-2159
Mailing Address - Fax:
Practice Address - Street 1:900 N 3RD ST
Practice Address - Street 2:UNIT 900 A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-2206
Practice Address - Country:US
Practice Address - Phone:215-915-2159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI001055183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist