Provider Demographics
NPI:1164266136
Name:TRAN, DAU T (RPH)
Entity type:Individual
Prefix:
First Name:DAU
Middle Name:T
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 1:3848 VETERANS MEMORIAL BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5635
Mailing Address - Country:US
Mailing Address - Phone:504-309-3999
Mailing Address - Fax:504-309-3772
Practice Address - Street 1:3848 VETERANS MEMORIAL BLVD STE 103
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5635
Practice Address - Country:US
Practice Address - Phone:504-309-3999
Practice Address - Fax:504-309-3772
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA015230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist