Provider Demographics
NPI:1467330605
Name:TRAN, VIET T (PHARMD)
Entity type:Individual
Prefix:
First Name:VIET
Middle Name:T
Last Name:TRAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 E POTOMAC ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:MD
Mailing Address - Zip Code:21795-1203
Mailing Address - Country:US
Mailing Address - Phone:301-223-8185
Mailing Address - Fax:
Practice Address - Street 1:307 E POTOMAC ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:MD
Practice Address - Zip Code:21795-1203
Practice Address - Country:US
Practice Address - Phone:301-223-8185
Practice Address - Fax:301-223-8186
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist