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NPI Code Detail

MEDICARE: TUYET NGOC LE PHARMACIST

MEDICARE: TUYET NGOC LE PHARMACIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS33018FL

General Provider Information

NPI Number : 1043557101
Entity Type Code : Individual
Provider Name (Legal Business Name) : TUYET NGOC LE PHARMACIST
Provider Business Mailing Address
First Line : 5630 RYWOOD DR
Second Line :
City : ORLANDO
State : FL
Zip : 32810-6608
Country : US
Telephone Number : 407-578-0750
Fax Number :
Provider Business Practice Location Address
First Line : 2015 EDGEWATER DR
Second Line :
City : ORLANDO
State : FL
Zip : 32804-5311
Country : US
Telephone Number : 407-872-0282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2013
Last Update Date : 01/09/2013

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Directions to “ TUYET NGOC LE PHARMACIST” Practice Location

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