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NPI Code Detail

MEDICARE: VIET LE PHARM.D

MEDICARE:   VIET  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
1183500000XPharmacistPS52567FL

General Provider Information

NPI Number : 1841680170
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIET LE PHARM.D
Provider Business Mailing Address
First Line : 301 N TYNDALL PKWY
Second Line :
City : CALLAWAY
State : FL
Zip : 32404-6124
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 N TYNDALL PKWY
Second Line :
City : CALLAWAY
State : FL
Zip : 32404-6124
Country : US
Telephone Number : 850-522-5301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2015
Last Update Date : 01/26/2015

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Directions to “ VIET LE PHARM.D” Practice Location

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