Provider Demographics
NPI:1548900160
Name:CHU, TRAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TRAN
Middle Name:
Last Name:CHU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:TRAN
Other - Middle Name:BAO
Other - Last Name:CHU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6625 SWEETZER WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-7310
Mailing Address - Country:US
Mailing Address - Phone:702-577-7176
Mailing Address - Fax:
Practice Address - Street 1:6625 SWEETZER WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-7310
Practice Address - Country:US
Practice Address - Phone:702-577-7176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20869183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist