VY-JONATHAN XUAN TRAN

TERRYTOWN, LA
NPI1063994820
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  PST.022607)
Enumeration Date2018-08-29
Last Update Date2018-08-29
Business Address
VY-JONATHAN XUAN TRAN
888 TERRY PKWY
TERRYTOWN, LA 70056-5270
Phone number: 504-392-1551
Mailing Address
VY-JONATHAN XUAN TRAN
670 S RUE MARCEL
GRETNA, LA 70056-8203
Phone number: