MEDICARE: ANN 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
1	183500000X	Pharmacist	62984	CA

General Provider Information

NPI Number	:	1609151844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN LE PHARM. D.

Provider Business Mailing Address
First Line	:	892 VIA VENTI
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-3700
Country	:	US
Telephone Number	:	626-823-8777
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 PACIFIC BLVD
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-2923
Country	:	US
Telephone Number	:	323-826-9775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2011
Last Update Date	:	10/19/2011

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