MIMI NGOC TRAN-LY

BURKE, VA
NPI1861535098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202205760)
Additional Taxonomies183500000X Pharmacist
(Licence: MD  17584)
183500000X Pharmacist
(Licence: DC  PH100000497)
Enumeration Date2007-02-15
Last Update Date2008-05-30
Business Address
Dr. MIMI NGOC TRAN-LY PharmD
5999 BURKE COMMONS RD
BURKE, VA 22015-2880
Phone number: 703-249-7919
Mailing Address
Dr. MIMI NGOC TRAN-LY PharmD
12691 HERON RIDGE DR
FAIRFAX, VA 22030-6637
Phone number: 571-213-7179