MEDICARE: LINCHI 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	17469	NV

General Provider Information

NPI Number	:	1538460803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINCHI LE PHARM.D

Provider Business Mailing Address
First Line	:	45 E HORIZON RIDGE PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89002-7908
Country	:	US
Telephone Number	:	702-564-1425
Fax Number	:	702-564-8545

Provider Business Practice Location Address
First Line	:	45 E HORIZON RIDGE PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89002-7908
Country	:	US
Telephone Number	:	702-564-1425
Fax Number	:	702-564-8545

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

Provider Enumeration Date	:	11/03/2010
Last Update Date	:	11/03/2010

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