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NPI Code Detail

MEDICARE: HA LE PHARM.D.

MEDICARE: HA 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
1183500000XPharmacist72125CA

General Provider Information

NPI Number : 1467835512
Entity Type Code : Individual
Provider Name (Legal Business Name) : HA LE PHARM.D.
Provider Business Mailing Address
First Line : 9625 WHITE SETTLEMENT RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4406
Country : US
Telephone Number : 817-367-3469
Fax Number :
Provider Business Practice Location Address
First Line : 9625 WHITE SETTLEMENT RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4406
Country : US
Telephone Number : 817-367-3469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2015
Last Update Date : 12/30/2022

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Directions to “ HA LE PHARM.D.” Practice Location

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