Healthcare Provider Details

I. General information

NPI: 1871936021
Provider Name (Legal Business Name): HUNG THANH LE PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15250 E MISSISSIPPI AVE
AURORA CO
80012-3768
US

IV. Provider business mailing address

15250 E MISSISSIPPI AVE
AURORA CO
80012-3768
US

V. Phone/Fax

Practice location:
  • Phone: 303-671-8701
  • Fax: 303-743-1453
Mailing address:
  • Phone: 303-671-8701
  • Fax: 303-743-1453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number17445
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: