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NPI Code Detail

MEDICARE: DR. TUONG KAREN LE PHARM.D.

MEDICARE: DR. TUONG KAREN LE PHARM.D.
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
1183500000XPharmacist53611CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
153611OTHERCARPH LICENSE

General Provider Information

NPI Number : 1225338858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TUONG KAREN LE PHARM.D.
Provider Business Mailing Address
First Line : 5021 LAGUNA BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95758
Country : US
Telephone Number : 916-691-3777
Fax Number : 916-691-3782
Provider Business Practice Location Address
First Line : 5021 LAGUNA BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-5262
Country : US
Telephone Number : 916-691-3777
Fax Number : 916-691-3782
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2010
Last Update Date : 10/29/2010

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