Cassidy Tran | Winter Park, FL • PECOS Search

Cassidy Tran

Pharmacist

Pharmacy Service Providers

3770 N Goldenrod Rd, Winter Park, FL 32792-8832

PECOS Enrollment

Based on the most recent information from CMS, provider Cassidy Tran does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1710580840
Provider Type
Individual
Full Name
Tran, Cassidy
Credential
PHARMD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/20/2020
Last Updated
11/21/2020

Contact Information

Practice Location

3770 N Goldenrod Rd, Winter Park, FL 32792-8832

Unlisted Fax

Mailing Location

3770 N Goldenrod Rd, Winter Park, FL 32792-8832

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License PS61556 Florida
Code 3336C0003X	Description Pharmacy Suppliers	License PS61556 Florida