Provider Demographics
NPI:1194297028
Name:TRAN, TIFFANI VIEN (PHARMD)
Entity type:Individual
Prefix:
First Name:TIFFANI
Middle Name:VIEN
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 1:1355 SYLVAN RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-7113
Mailing Address - Country:US
Mailing Address - Phone:717-598-0873
Mailing Address - Fax:
Practice Address - Street 1:825 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-3127
Practice Address - Country:US
Practice Address - Phone:717-293-8001
Practice Address - Fax:717-293-0958
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty