Provider Demographics
NPI:1053883165
Name:TRAN, BICH NGOC T (PHARMD)
Entity type:Individual
Prefix:
First Name:BICH NGOC
Middle Name:T
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13065 SHADYSIDE LN UNIT B
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2842
Mailing Address - Country:US
Mailing Address - Phone:479-208-0834
Mailing Address - Fax:
Practice Address - Street 1:13065 SHADYSIDE LN UNIT B
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2842
Practice Address - Country:US
Practice Address - Phone:479-208-0834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25829183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist