Provider Demographics
NPI:1487938163
Name:TRAN, ANH T (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANH
Middle Name:T
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:ANH
Other - Middle Name:T
Other - Last Name:LUONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:3890 CHASING FALLS RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-3569
Mailing Address - Country:US
Mailing Address - Phone:901-647-8020
Mailing Address - Fax:
Practice Address - Street 1:5441 BABCOCK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3993
Practice Address - Country:US
Practice Address - Phone:210-615-1117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000035456183500000X
FLPS48243183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist