Provider Demographics
NPI:1396346128
Name:VU TRAN, LEILANIE HIEU (PHARMD)
Entity type:Individual
Prefix:
First Name:LEILANIE
Middle Name:HIEU
Last Name:VU 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 1:10801 N 32ND ST APT 128
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3234
Mailing Address - Country:US
Mailing Address - Phone:714-757-7877
Mailing Address - Fax:
Practice Address - Street 1:6145 N 35TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-1940
Practice Address - Country:US
Practice Address - Phone:602-973-6561
Practice Address - Fax:602-973-6563
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS026317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist