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NPI Code Detail

MEDICARE: LOC LE PHARMD

MEDICARE: LOC 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
1183500000XPharmacist61688CA

General Provider Information

NPI Number : 1760769871
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOC LE PHARMD
Provider Business Mailing Address
First Line : 1621 ROSE GARDEN CT
Second Line :
City : MODESTO
State : CA
Zip : 95356
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1591 GEER RD
Second Line :
City : TURLOCK
State : CA
Zip : 95380-3200
Country : US
Telephone Number : 209-669-6648
Fax Number : 209-669-6134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2011
Last Update Date : 11/03/2011

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Directions to “ LOC LE PHARMD” Practice Location

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