Provider Demographics
NPI:1528663622
Name:TRAN, JULIA MINH TRAM (RPH)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:MINH TRAM
Last Name:TRAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:PROSPECT PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19076-1601
Mailing Address - Country:US
Mailing Address - Phone:610-237-3851
Mailing Address - Fax:610-237-8767
Practice Address - Street 1:702 CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:PROSPECT PARK
Practice Address - State:PA
Practice Address - Zip Code:19076-1601
Practice Address - Country:US
Practice Address - Phone:610-237-3851
Practice Address - Fax:610-237-8767
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043380L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist