MEDICARE: HIEN T 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
1	183500000X	Pharmacist	RPH62143	CA

General Provider Information

NPI Number	:	1376827212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIEN T LE PHARMD

Provider Business Mailing Address
First Line	:	1420 MEADOWVIEW RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823
Country	:	US
Telephone Number	:	916-421-0102
Fax Number	:	916-421-0118

Provider Business Practice Location Address
First Line	:	1420 MEADOWVIEW RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823
Country	:	US
Telephone Number	:	916-421-0102
Fax Number	:	916-421-0118

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

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

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Directions to “ HIEN T LE PHARMD” Practice Location

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