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Khanh Phuong Tran

Pharmacist in Keller, TX. Individual provider (NPI-1).

NPI number1689288151
StatusActive
Last updated in NPPESSep 2, 2020

Details

NPI
1689288151
Entity type
Individual (NPI-1)
Name
Khanh Phuong Tran
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 2, 2020
Certification date
Sep 2, 2020
Last updated
Sep 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist40945TXYes

Practice location

1470 Keller Pkwy
Keller, TX 76248-3619

Phone 817-431-5305

Mailing address

10505 Crawford Farms Dr
Fort Worth, TX 76244-9595

Phone 817-559-3149

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