Provider Demographics
NPI:1487992855
Name:VU, TRAN N (RPH)
Entity type:Individual
Prefix:
First Name:TRAN
Middle Name:N
Last Name:VU
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 1:13900 COUNTY ROAD 455
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-9052
Mailing Address - Country:US
Mailing Address - Phone:407-877-1565
Mailing Address - Fax:407-877-1562
Practice Address - Street 1:13900 COUNTY ROAD 455
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-9052
Practice Address - Country:US
Practice Address - Phone:407-877-1565
Practice Address - Fax:407-877-1562
Is Sole Proprietor?:No
Enumeration Date:2013-01-19
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS21124183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist