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NPI Code Detail

MEDICARE: AMY LE PHARMD

MEDICARE: AMY 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
1183500000XPharmacist62543CA

General Provider Information

NPI Number : 1467840900
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LE PHARMD
Provider Business Mailing Address
First Line : 650 GATEWAY CENTER DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-4530
Country : US
Telephone Number : 619-358-2302
Fax Number :
Provider Business Practice Location Address
First Line : 650 GATEWAY CENTER DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-4530
Country : US
Telephone Number : 619-358-2302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2015
Last Update Date : 01/07/2015

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Directions to “ AMY LE PHARMD” Practice Location

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