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NPI Code Detail

MEDICARE: PHUONG CHI NAM LE PHARMD

MEDICARE:   PHUONG CHI NAM LE  PHARMD
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist125307MN

General Provider Information

NPI Number : 1194446856
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHUONG CHI NAM LE PHARMD
Provider Business Mailing Address
First Line : 929 PORTLAND AVE
Second Line : SUITE 1706
City : MINNEAPOLIS
State : MN
Zip : 55404-1266
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 929 PORTLAND AVE
Second Line : SUITE 1706
City : MINNEAPOLIS
State : MN
Zip : 55404-1266
Country : US
Telephone Number : 612-471-6596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2022
Last Update Date : 09/09/2022

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Directions to “ PHUONG CHI NAM LE PHARMD” Practice Location

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