IndividualActive
Diep Tran
NPI 1154715035 · Nutrition Support Pharmacist · Newark, NJ
Provider details
- NPI number
- 1154715035
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 28RI02168400 (NJ)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
465 Mount Prospect Ave
Newark, NJ 07104-2907
Phone: (973) 483-3640
Approximate (ZIP-level) locationGet directions
Mailing address
2262 Newark Ave
Scotch Plains, NJ 07076-4673
Registry dates
- Enumerated
- 2015-03-27
- Last updated
- 2021-08-26
- Certified
- 2021-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.