Ivy P Tran
Pharmacist in San Jose, CA. Individual provider (NPI-1).
NPI number1851661839
StatusActive
Last updated in NPPESMar 31, 2017
Details
- NPI
- 1851661839
- Entity type
- Individual (NPI-1)
- Name
- Ivy P Tran
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2012
- Last updated
- Mar 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 67657 | CA | Yes |
Practice location
260 International CirSan Jose, CA 95119-1130
Phone 408-972-6335
Mailing address
1520 E Capitol Expy Spc 167San Jose, CA 95121-1819
Phone 408-691-1596
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